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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 LlcInferred 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