SHARON A BLAKE

LEESBURG, FL
NPI1275182941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: FL  PT10709)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
SHARON A BLAKE
606 S 9TH ST
LEESBURG, FL 34748-6320
Phone number: 352-805-4404
Mailing Address
SHARON A BLAKE
2980 W BEAUMONT LN
EUSTIS, FL 32726-2071
Phone number: 773-837-2921
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