BLAKE WISEMAN

CARMEL, IN
NPI1508121385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05009661a)
Enumeration Date2012-07-09
Last Update Date2014-09-24
Business Address
-- BLAKE WISEMAN DPT
890 E 116TH ST SUITE 142
CARMEL, IN 46032-3475
Phone number: 317-688-8232
Mailing Address
-- BLAKE WISEMAN DPT
13426 LOST CREEK LN
CARMEL, IN 46074-5836
Phone number: 317-989-3578
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