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1508467937
BLAKE BENNETT
MEMPHIS, TN
NPI
1508467937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
(Licence: TN 13112)
Enumeration Date
2020-11-03
Last Update Date
2021-12-09
Business Address
BLAKE BENNETT PT
871 RIDGEWAY LOOP RD STE 100
MEMPHIS, TN 38120-4026
Phone number: 901-266-3838
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Mailing Address
BLAKE BENNETT PT
871 RIDGEWAY LOOP RD STE 100
MEMPHIS, TN 38120-4026
Phone number:
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