Individual
BLASENKO SIMUNOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7033 N FRESNO ST, FRESNO, CA 93720-2976
(559) 438-4300
(559) 438-4339
Mailing address
7033 N FRESNO ST, FRESNO, CA 93720-2976
(559) 438-4300
(559) 438-4339
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT12805
CA
Other
Enumeration date
09/21/2006
Last updated
11/08/2017
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