Individual
DR. BLAKE AUSTIN RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2145 COUNTRY CLUB RD STE 200, JACKSONVILLE, NC 28546-2404
(910) 939-5937
(910) 939-5292
Mailing address
2145 COUNTRY CLUB RD STE 200, JACKSONVILLE, NC 28546-2404
(910) 939-5937
(910) 939-5292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5982
OK
225100000X
Physical Therapist
Primary
P-CP011508T
NC
Other
Enumeration date
06/05/2021
Last updated
05/25/2022
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