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1851845689
BLAKE ENGELHOVEN
DES MOINES, IA
NPI
1851845689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 083012)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
-- BLAKE ENGELHOVEN PTA
450 LAUREL ST.
DES MOINES, IA 50314
Phone number: 515-323-6485
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Mailing Address
-- BLAKE ENGELHOVEN PTA
248 52ND ST. UNIT 94
WEST DES MOINES, IA 50265-2878
Phone number: 641-660-9044
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