Individual
DR. AUBREE NICOLE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16535 110TH AVE SE, YELM, WA 98597-9638
(360) 458-3700
Mailing address
16535 110TH AVE SE, YELM, WA 98597-9638
(360) 458-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61053003
WA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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