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Individual

BLAKE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3212 2ND AVENUE, LAKE CHARLES, LA 70601
(337) 478-8161
(337) 474-5150
Mailing address
P.O. BOX 4968, LAKE CHARLES, LA 70606
(337) 478-8161
(337) 474-5150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07866
LA

Other

Enumeration date
06/29/2010
Last updated
06/29/2010
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