William Blake, DPT

NPI #1760979207 in Bishop, California

Provider Information

NPI Number: 1760979207
Entity Type: Individual
Name: William Blake, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 19, 2018
Last Updated: Nov 23, 2021

Practice Location

Address: 150 PIONEER LN
City: Bishop
State: California
ZIP Code: 93514-2556
Phone: (760) 873-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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