JONATHAN BLAISE

JOHNSON CITY, TN
NPI1508594912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  8222)
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
JONATHAN BLAISE
400 N BOONE ST
JOHNSON CITY, TN 37604
Phone number: 423-929-2900
Mailing Address
JONATHAN BLAISE
3004 SHELBY ST
BRISTOL, TN 37620-3478
Phone number: 518-569-9887
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