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1649602723
TIMOTHY E. BLAKE
RICHMOND, VA
NPI
1649602723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208076)
Enumeration Date
2013-07-31
Last Update Date
2016-09-16
Business Address
-- TIMOTHY E. BLAKE PT, DPT, CSCS
5899 BREMO RD SUITE 100
RICHMOND, VA 23226-1935
Phone number: 804-285-2645
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Mailing Address
-- TIMOTHY E. BLAKE PT, DPT, CSCS
1115 BOULDERS PKWY SUITE 200
NORTH CHESTERFIELD, VA 23225-4067
Phone number: 804-560-5595
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