Maxwell Blake

NPI #1023597382 in Arlington, Virginia

Provider Information

NPI Number
1023597382
Entity Type
Individual
Name
Maxwell Blake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Aug 8, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
1600 WILSON BLVD STE 102
ZIP Code
22209-2505
Phone
(703) 935-1996

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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