Andrew Blacet, PTA

NPI #1407325202 in Campbell, California

Provider Information

NPI Number: 1407325202
Entity Type: Individual
Name: Andrew Blacet, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 201 E HAMILTON AVE
City: Campbell
State: California
ZIP Code: 95008-0206
Phone: (408) 376-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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