AUSTIN BLAKE PATRICK

BRANDON, MS
NPI1710504634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT6892)
Enumeration Date2020-06-26
Last Update Date2020-06-26
Business Address
AUSTIN BLAKE PATRICK DPT
2015 HIGHPOINTE DRIVE
BRANDON, MS 39042-3169
Phone number:
Mailing Address
AUSTIN BLAKE PATRICK DPT
8205 PRESIDENTS DR
HUMMELSTOWN, PA 17036-8621
Phone number: 717-839-2188
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