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Individual
BLAKE MICHAEL MARLIA
Active
Individual
BLAKE MICHAEL MARLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228760
—
OR
01
—
P00245147
RAILROAD MEDICARE
OR
Enumeration date
07/12/2006
Last updated
10/25/2007
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