Individual
BLAKE SPILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GROVE ST, PEEBLES, OH 45660-1037
(937) 544-2205
Mailing address
100 GROVE ST, PEEBLES, OH 45660-1037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13227
OH
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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