SHIRLEY BLAKE

BANGOR, ME
NPI1326057753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT44)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- SHIRLEY BLAKE PT
133 CORPORATE DR SUITE 2
BANGOR, ME 04401-4312
Phone number: 207-992-9286
Mailing Address
-- SHIRLEY BLAKE PT
PO BOX 921
BANGOR, ME 04402-0921
Phone number: 207-992-2070
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