MICHAEL BLAKE

MIDLOTHIAN, VA
NPI1043948060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305215230)
Enumeration Date2022-08-09
Last Update Date2026-05-19
Business Address
MICHAEL BLAKE DPT
2925 POLO PKWY
MIDLOTHIAN, VA 23113-1453
Phone number: 804-794-7587
Mailing Address
MICHAEL BLAKE DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200