MR. Jason David Blazer, M.S., P.T.

NPI #1750331088 in Darien, Connecticut

Provider Information

NPI Number: 1750331088
Entity Type: Individual
Name: MR. Jason David Blazer, M.S., P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.S., P.T.
Enumeration Date: May 10, 2006
Last Updated: Oct 17, 2007

Practice Location

Address: 264 HEIGHTS RD
City: Darien
State: Connecticut
ZIP Code: 06820-4122
Phone: (203) 655-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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