Blake Holland, DPT

NPI #1922023514 in Patchogue, New York

Provider Information

NPI Number: 1922023514
Entity Type: Individual
Name: Blake Holland, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 475 E MAIN ST
Address 2: SUITE 103-105
City: Patchogue
State: New York
ZIP Code: 11772-3121
Phone: (631) 289-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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