Individual
ABIGAIL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
Mailing address
70 VALLEY VIEW DR, LEBANON, PA 17042-8727
(717) 471-9424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004662
WV
225100000X
Physical Therapist
PT030557
PA
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/18/2022
Last updated
10/04/2023
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