Jo Elizabeth Blazer, PTA

NPI #1235258948 in Destin, Florida

Provider Information

NPI Number: 1235258948
Entity Type: Individual
Name: Jo Elizabeth Blazer, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 180 POINCIANA BLVD
Address 2: SUITE #4
City: Destin
State: Florida
ZIP Code: 32550-7049
Phone: (850) 269-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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