AUSTIN BLALOCK

GLENDALE, AZ
NPI1689199671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  13214)
Enumeration Date2017-08-10
Last Update Date2017-08-10
Business Address
AUSTIN BLALOCK PT
18301 N 79TH AVE
GLENDALE, AZ 85308-8463
Phone number: 623-486-3333
Mailing Address
AUSTIN BLALOCK PT
18301 N 79TH AVE
GLENDALE, AZ 85308-8463
Phone number: 623-486-3333