| NPI | 1265607642 |
|---|---|
| Other Name | TRACEY ST HILL BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 25698) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NC 6033) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-08-22 |