Individual
DR. BLAKE ARNOLD DIRCKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
225 E 83RD ST APT 4W, NEW YORK, NY 10028-2844
(317) 385-8525
Mailing address
225 E 83RD ST APT 4W, NEW YORK, NY 10028-2844
(317) 385-8525
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
05/15/2022
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