Individual
DR. BLAKE SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2806 N MAIN ST, VICTORIA, TX 77901-3216
(361) 237-1670
(361) 237-1703
Mailing address
2806 N MAIN ST, VICTORIA, TX 77901-3216
(361) 237-1670
(361) 237-1703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1263602
TX
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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