Organization
BLAKE & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE SHEILA BLAKE PT (PRESIDENT)
(513) 661-6555
Entity
Organization
Contact information
Practice address
5754 BRIDGETOWN RD, STE B2, CINCINNATI, OH 45248-3100
(513) 661-6555
(513) 661-6556
Mailing address
5754 BRIDGETOWN RD, STE B2, CINCINNATI, OH 45248-3100
(513) 661-6555
(513) 661-6556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009629
ANTHEM
OH
Enumeration date
11/18/2005
Last updated
08/22/2020
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