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Individual

ALLISON E BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1780 OLD HWY 50 E, SUITE 109, UNION, MO 63084-3397
(636) 583-7733
(636) 583-7766
Mailing address
1780 OLD HWY 50 E, SUITE 109, UNION, MO 63084-3397
(636) 583-7733
(636) 583-7766

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002026765
MO

Other

Enumeration date
11/20/2007
Last updated
10/01/2008
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