BLAKE BLUNDRED

FORT WORTH, TX
NPI1184514879
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1406802)
Enumeration Date2025-07-07
Last Update Date2025-07-07
Business Address
BLAKE BLUNDRED DPT
8651 JOHN T WHITE RD STE 121
FORT WORTH, TX 76120-2766
Phone number: 817-542-0714
Mailing Address
BLAKE BLUNDRED DPT
3914 ESCOBA DR
GRAND PRAIRIE, TX 75052-6826
Phone number: 469-407-9176
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