Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORY BLAKE
ActiveCORY BLAKE is a Physical Medicine & Rehabilitation healthcare provider located in DAVIDSON, North Carolina. NPI 1790515898 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · DAVIDSON, NC
Registration Details
- NPI Number
- 1790515898
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2024 (2.066401994734 yrs)
- Last Updated
- Aug 5, 2024
- License
-
P23407 (NC)
Practice Information
- Address
-
460 S MAIN STDAVIDSON, NC, 280368006Browse NC providers · Browse ZIP 28036
- Phone
- 7042556383
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.