Individual
KARLIE ANNE BLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(815) 354-4819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009515
IL
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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