Individual
BLAKE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
(636) 447-1098
Mailing address
2544 JACKSON RD, WENTZVILLE, MO 63385-4202
(314) 568-8381
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014037263
MO
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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