Individual
MR. BLAKE CHARLES MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1255 S STATE ST STE 7, DOVER, DE 19901-6932
(302) 734-0100
Mailing address
114 S SPINNAKER LN, MILTON, DE 19968-1538
(302) 500-2294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0014376
DE
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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