Taylor Ann Blake, ATS
NPI #1013736594 in Burgaw, North Carolina
Provider Information
- NPI Number
- 1013736594
- Entity Type
- Individual
- Name
- Taylor Ann Blake, ATS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATS
- Enumeration Date
- Oct 10, 2024
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 1771 US HIGHWAY 117 N
- City
- Burgaw
- State
- North Carolina
- ZIP Code
- 28425-3917
- Phone
- (910) 789-9506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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