| NPI | 1477861219 |
|---|---|
| Professional Name | DESIREE YVONNE BLALOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60282627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10904) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-04-12 |