Individual
BLAKE MICHAEL ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 S MAIN ST, BISHOP, CA 93514-3415
(760) 872-2942
Mailing address
162 S MAIN ST, BISHOP, CA 93514-3415
(760) 872-2942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
02/10/2021
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