Blake Laing Valid NPI

Individual provider · Physical Therapy Assistant · Port Orange, FL

NPI

1134476229

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2306603132 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2012-08-08

Last updated

2012-08-08