Individual
AUBREY BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1170 LINKHAW RD, LUMBERTON, NC 28358-2524
(910) 671-1163
Mailing address
179 LOCHWOOD DR, RAEFORD, NC 28376-6692
(727) 373-8389
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
P16523
NC
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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