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1518730084
BLAKE KITTREDGE
MILWAUKEE, WI
NPI
1518730084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 3030-19)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
BLAKE KITTREDGE PTA
2115 E WOODSTOCK PL
MILWAUKEE, WI 53202-1342
Phone number: 414-758-1020
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Mailing Address
BLAKE KITTREDGE PTA
11178 W APPLETON AVE
MILWAUKEE, WI 53225-1213
Phone number: 414-403-2623
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