Blake O. Waterman, MPT

NPI #1245271865 in Hammonton, New Jersey

Provider Information

NPI Number: 1245271865
Entity Type: Individual
Name: Blake O. Waterman, MPT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jun 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 640 S WHITE HORSE PIKE
City: Hammonton
State: New Jersey
ZIP Code: 08037-2014
Phone: (609) 704-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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