Organization
BLASER PHYSICAL THERAPY
Active
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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