Kelly Jean Blazer

NPI #1063819332 in Springfield, Ohio

Provider Information

NPI Number: 1063819332
Entity Type: Individual
Name: Kelly Jean Blazer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 2, 2014
Last Updated: Dec 2, 2014

Practice Location

Address: 3680 SELMA RD
City: Springfield
State: Ohio
ZIP Code: 45502-6310
Phone: (937) 328-5378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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