Individual
MR. BRENDEN M BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1413 HIGHWAY 17 N, SUITE A, SURFSIDE BEACH, SC 29575-6012
(843) 238-9542
Mailing address
1413 HIGHWAY 17 N, SUITE A, SURFSIDE BEACH, SC 29575-6012
(843) 238-9542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6846
SC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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