Individual
MAGGIE CHRISTINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
321 MIDDLEFIELD RD, MENLO PARK, CA 94025-3500
(925) 324-7273
Mailing address
321 MIDDLEFIELD RD, MENLO PARK, CA 94025-3500
(925) 324-7273
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
297018
CA
Other
Enumeration date
08/29/2019
Last updated
08/02/2024
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