MR. CHARLES BLAKE, PT
Physical Therapist - Orthopedic
Active
Individual
NPI: 1104892637
Practice Address
MONCRIEF ARMY HEALTH CLINIC4500 8TH DIVISION DRIVE
Columbia, SC 29207
Phone: (803) 751-7183
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist - Orthopedic | 2251X0800X | Yes | 420820 (TN) |
Frequently Asked Questions
NPI 1104892637 is the National Provider Identifier for MR. CHARLES BLAKE, PT, a Physical Therapist - Orthopedic provider located in Columbia, SC. This NPI was enumerated on February 24, 2006.
MR. CHARLES BLAKE, PT practices at MONCRIEF ARMY HEALTH CLINIC, 4500 8TH DIVISION DRIVE, Columbia, SC 29207.
Quick Facts
- NPI
- 1104892637
- Type
- Individual
- Enumerated
- Feb 24, 2006
- Last Updated
- Mar 18, 2025
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