JEFFREY LEE BLAKE

SANTA MONICA, CA
NPI1407834781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT17676)
Enumeration Date2006-01-06
Last Update Date2011-11-09
Business Address
Mr. JEFFREY LEE BLAKE PT
1714 17TH ST
SANTA MONICA, CA 90404-4410
Phone number: 310-392-7889
Mailing Address
Mr. JEFFREY LEE BLAKE PT
1714 17TH ST
SANTA MONICA, CA 90404-4410
Phone number: 310-392-7889
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