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Organization

BLASER PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENDAL BLASER PT (OWNER/PHYSICAL THERAPIST)
(540) 341-1922
Entity
Organization

Contact information

Practice address
40 NORTH HILL DR, WARRENTON, VA 20186-2610
(540) 341-1922
(540) 341-1923
Mailing address
40 NORTH HILL DR, WARRENTON, VA 20186-2610
(540) 341-1922
(540) 341-1923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251P0200X
Pediatric Physical Therapist
225200000X
Physical Therapy Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194042
BLUE CROSS BLUE SHIELD
VA
Enumeration date
03/22/2006
Last updated
11/15/2007
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