LAUREN BLAKE

MORGANTOWN, WV
NPI1386921906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  3990)
Enumeration Date2011-11-10
Last Update Date2013-06-19
Business Address
-- LAUREN BLAKE PTA
161 BAKERS RIDGE RD
MORGANTOWN, WV 26508-1459
Phone number: 304-285-0692
Mailing Address
-- LAUREN BLAKE PTA
1300 PEACOCK LN
FAIRMONT, WV 26554-2420
Phone number:
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