Miranda M Blaser, DPT Valid NPI
Individual provider · Physical Therapist · Fayetteville, GA
- NPI
- 1467572941
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT008982 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-03-30
- Last updated
- 2007-07-08
Practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
(770) 719-7184