MARK D BLAZEK

COLUMBIA, SC
NPI1306222534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  7901)
Enumeration Date2015-08-11
Last Update Date2015-08-11
Business Address
-- MARK D BLAZEK DPT
3250 HARDEN STREET EXT SUITE 100
COLUMBIA, SC 29203-6842
Phone number: 803-509-6389
Mailing Address
-- MARK D BLAZEK DPT
10 WILLIAM POPE DR SUITE 3
BLUFFTON, SC 29909-7549
Phone number: 843-705-9440
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