BLAKE PHYSICAL THERAPY, PC
Restorative Service Providers at 17 St, Santa Monica, CA

License number
California PT17676
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: JEFF BLAKE
Title: OWNER
Phone: (310) 392-7889
Address
Address
1714 17Th St, Santa Monica, CA 90404
National Provider ID: 1750350476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BLAKE PHYSICAL THERAPY, PC

1714 17 St, Santa Monica, CA 90404

Industry:
Health Practitioner's Office
Registration:
Aug 7, 2002
State ID:
C2464051
Business type:
Articles of Incorporation
President:
Jeffrey Blake (President)

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