BLAKE LAING

PORT ORANGE, FL
NPI1134476229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603132)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
BLAKE LAING
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
BLAKE LAING
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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