Individual
BLAKE POMAJZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
103 COTTONWOOD ST, WARSAW, MO 65355-3414
(660) 428-1146
Mailing address
908 W 28TH ST, SEDALIA, MO 65301-7925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025028938
MO
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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