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Individual

ABBIGAIL BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-2000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14699
WI

Other

Enumeration date
06/06/2019
Last updated
10/08/2021
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