Individual
BLAKE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 301-4530
Mailing address
1909 HINSON LOOP RD STE 100, LITTLE ROCK, AR 72212-3903
(501) 301-4530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5051
AR
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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