Individual
BLAKE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4134 JUG FACTORY RD, GREER, SC 29651-4833
(864) 517-2626
Mailing address
4134 JUG FACTORY RD, GREER, SC 29651-4833
(864) 517-2626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10704
SC
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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