BLAIZE MCMONAGLE

SANFORD, FL
NPI1669016887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA24352)
Enumeration Date2019-10-30
Last Update Date2019-10-30
Business Address
BLAIZE MCMONAGLE PTA
5121 MICHIGAN AVE
SANFORD, FL 32771-8574
Phone number: 407-346-4997
Mailing Address
BLAIZE MCMONAGLE PTA
755 MONROE RD UNIT 470738
LAKE MONROE, FL 32747-7525
Phone number:
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