Individual
JOSEPH CLARK BALDRIDGE
Active
Individual
JOSEPH CLARK BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5720
TN
225100000X
Physical Therapist
PT006222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4113749
BLUE CROSS/ BLUE SHIELD
TN
01
—
TN0120
JOHN DEERE
TN
Enumeration date
06/21/2006
Last updated
10/29/2007
Update your record
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