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Individual
MAX BLACKBURN
Active
Individual
MAX BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33346
FL
225100000X
Physical Therapist
PTT32637
FL
Other
Enumeration date
06/14/2017
Last updated
01/31/2018
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