BETHANY L BLAKE

ADVANCED PHYSICAL THERAPY CABOT LLC

Dr BETHANY L BLAKE is a female medical professional, specializing in Physical Therapy. She graduated in 2014.

Contact

ADVANCED PHYSICAL THERAPY CABOT LLC

2251 BILL FOSTER MEMORIAL HWY W
SUITE B
CABOT
AR
720237200

Tel: 5019413320

BETHANY L BLAKE Information

Npi 1619386786
Pac Id 6901128925
Professional Enrollment Id I20141202002230
Last Name BLAKE
First Name BETHANY
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED PHYSICAL THERAPY CABOT LLC
Group Practice Pac Id 4183947930
Number Of Group Practice Members 3
Line 1 Street Address 2251 BILL FOSTER MEMORIAL HWY W
Line 2 Street Address SUITE B
Marker Of Address Line 2 Suppression
City CABOT
State AR
Zip Code 720237200
Phone Number 5019413320
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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