MIRANDA M BLASER

FAYETTEVILLE, GA
NPI1467572941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT008982)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Ms. MIRANDA M BLASER DPT
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-7184
Mailing Address
Ms. MIRANDA M BLASER DPT
1302 PEACHTREE LANDING CIR
FAIRBURN, GA 30213-4267
Phone number: 319-504-6640