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Cory Blake

NPI 1790515898 · on the registry since 2024

Practice

Address
460 S Main St
Davidson, NC 28036
Phone
(704) 255-6383
Organisation at this address
Coleman And Dastrup Pllc
Physiofit Physical Therapy And Sports Performance Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina