Individual
BLAKE GEREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-8154
Mailing address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21316
NC
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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