| NPI | 1558558445 |
|---|---|
| Other Name | BLAS HERRERA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 3864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7322) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2015-07-08 |