Individual
MR. CHARLES BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
MONCRIEF ARMY HEALTH CLINIC, 4500 8TH DIVISION DRIVE, COLUMBIA, SC 29207
(803) 751-7183
Mailing address
MONCRIEF ARMY HEALTH CLINIC, 4500 8TH DIVISION DRIVE, COLUMBIA, SC 29207
(803) 751-7183
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
420820
TN
Other
Enumeration date
02/24/2006
Last updated
03/18/2025
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