MR. Charles Blake, PT
NPI #1104892637 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104892637
- Entity Type
- Individual
- Name
- MR. Charles Blake, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- PT
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Mar 18, 2025
Practice Location
- Address
- MONCRIEF ARMY HEALTH CLINIC
- Address 2
- 4500 8TH DIVISION DRIVE
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29207
- Phone
- (803) 751-7183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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