ZACHARY BLAKE

CHICAGO, IL
NPI1285077297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006030)
Enumeration Date2013-04-09
Last Update Date2013-04-09
Business Address
-- ZACHARY BLAKE
5333 N SHERIDAN RD
CHICAGO, IL 60640-7371
Phone number: 419-357-2055
Mailing Address
-- ZACHARY BLAKE
5333 N SHERIDAN RD
CHICAGO, IL 60640-7371
Phone number:
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