Individual
BLAKE P DOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2906 CROSSING CT, CHAMPAIGN, IL 61822-6163
(217) 398-9800
(217) 366-0037
Mailing address
PO BOX 416501, BOSTON, MA 02241-7594
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028814
IL
Other
Enumeration date
10/10/2024
Last updated
12/04/2024
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