Individual
CHRISTOPHER ALLEN BLAKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
UCHC; MARB BUILDING 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6161
Mailing address
78 TROLLEY CROSSING LN, MIDDLETOWN, CT 06457-5845
(860) 632-8741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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