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NPI Code Detail

MEDICARE: BLAKE & ASSOCIATES INC

MEDICARE: BLAKE & ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000009629OTHEROHANTHEM

General Provider Information

NPI Number : 1588646152
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLAKE & ASSOCIATES INC
Provider Business Mailing Address
First Line : 5754 BRIDGETOWN RD
Second Line : STE B2
City : CINCINNATI
State : OH
Zip : 45248-3100
Country : US
Telephone Number : 513-661-6555
Fax Number : 513-661-6556
Provider Business Practice Location Address
First Line : 5754 BRIDGETOWN RD
Second Line : STE B2
City : CINCINNATI
State : OH
Zip : 45248-3100
Country : US
Telephone Number : 513-661-6555
Fax Number : 513-661-6556
Authorized Official
Title or Position : PRESIDENT
Name : CATHERINE SHEILA BLAKE
Credential : PT
Telephone Number : 513-661-6555
Provider Enumeration Date : 11/18/2005
Last Update Date : 08/22/2020

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Directions to “BLAKE & ASSOCIATES INC ” Practice Location

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