TERRENCE BLAKE

MIAMI, FL
NPI1710467105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA19410)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
TERRENCE BLAKE
9400 SW 137TH AVE
MIAMI, FL 33186-1434
Phone number: 786-255-5137
Mailing Address
TERRENCE BLAKE
PO BOX 970858
MIAMI, FL 33197-0858
Phone number: 305-790-3463
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