HEATHER LEE BLAKE

BLOOMINGDALE, IL
NPI1720280654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.012919)
Enumeration Date2007-06-04
Last Update Date2015-09-01
Business Address
-- HEATHER LEE BLAKE MPT
152 S BLOOMINGDALE RD UNIT 101
BLOOMINGDALE, IL 60108-1481
Phone number: 630-893-5534
Mailing Address
-- HEATHER LEE BLAKE MPT
26806 BASSWOOD CIR
PLAINFIELD, IL 60585-2932
Phone number: 630-893-5534
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