Shaun Roland Blake, DPT

NPI #1255619490 in Encinitas, California

Provider Information

NPI Number: 1255619490
Entity Type: Individual
Name: Shaun Roland Blake, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 332 SANTA FE DR
Address 2: STE 120
City: Encinitas
State: California
ZIP Code: 92024-5143
Phone: (760) 942-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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