MR. Martin J Blazekovic

NPI #1073699070 in Medical Lake, Washington

Provider Information

NPI Number: 1073699070
Entity Type: Individual
Name: MR. Martin J Blazekovic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 800 WEST MAPLE STREET
City: Medical Lake
State: Washington
ZIP Code: 99022-0800
Phone: (509) 299-3121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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