BLAKE DARREN ALDRIDGE

WAYCROSS, GA
NPI1962940478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003749)
Enumeration Date2017-02-03
Last Update Date2017-02-03
Business Address
-- BLAKE DARREN ALDRIDGE PTA
401 PRESTON STREET
WAYCROSS, GA 31501
Phone number: 912-283-7342
Mailing Address
-- BLAKE DARREN ALDRIDGE PTA
401 PRESTON ST
WAYCROSS, GA 31501-5248
Phone number: 912-283-7342
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