Individual
ASHTEN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6104
(304) 797-6421
Mailing address
PO BOX 127, NEW ATHENS, OH 43981-0127
(740) 391-0609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002507
WV
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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