Waterman, Blake O.

Waterman, Blake O. is an individual health care provider with primary practice located at 640 S White Horse Pike , Hammonton NJ 08037-2014. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Waterman, Blake O. can be contacted via phone (609) 704-1980.

Contact Information

Primary practice address
640 S White Horse Pike Hammonton NJ 08037-2014
Phone: (609) 704-1980
Fax: (609) 704-9054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00583400 New Jersey

Profile Details

NPI number 1245271865
LBN Legal business name Waterman, Blake O.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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