CORY BLAKE
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1790515898- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 460 S MAIN ST, DAVIDSON, NC, 280368006
- Phone
- (704) 255-6383
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: NC #P23407