Blake Baldwin, PTA

NPI #1114310158 in Saint Peters, Missouri

Provider Information

NPI Number: 1114310158
Entity Type: Individual
Name: Blake Baldwin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 16, 2015
Last Updated: Mar 16, 2015

Practice Location

Address: 5400 EXECUTIVE CENTRE PKWY
City: Saint Peters
State: Missouri
ZIP Code: 63376-2594
Phone: (636) 447-1098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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