BLAKE HARE

SEAFORD, DE
NPI1659817187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000943)
Enumeration Date2017-01-08
Last Update Date2017-01-08
Business Address
-- BLAKE HARE
9817 NANTICOKE CIR
SEAFORD, DE 19973-8643
Phone number: 302-542-7232
Mailing Address
-- BLAKE HARE
9817 NANTICOKE CIR
SEAFORD, DE 19973-8643
Phone number: