MICHAEL BLAKE

MIDLOTHIAN, VA
NPI1043948060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: VA  2305215230)
Enumeration Date2022-08-09
Last Update Date2022-10-10
Business Address
MICHAEL BLAKE DPT
13801 ST FRANCIS BLVD STE 200
MIDLOTHIAN, VA 23114-3206
Phone number: 804-320-4064
Mailing Address
MICHAEL BLAKE DPT
PO BOX 715868
PHILADELPHIA, PA 19171-5868
Phone number: 804-915-1910
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