Individual
DR. BLAKE GRIFFITH MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6606 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-8513
(520) 296-0075
Mailing address
9225 E TANQUE VERDE RD APT 28104, TUCSON, AZ 85749-7758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013579
AZ
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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