Blake J Walker
Blake J Walker is a Rehabilitation Practitioner in Manteca, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1443 Spyglass PlManteca, CA 95336-2715
Phone: (209) 305-6021
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X · Licence 225400000X (CA) |
|---|
Record details
| NPI number | 1932972411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 3, 2023 |
| Mailing address | 1443 Spyglass Pl, Manteca, CA 95336-2715 |
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