Individual
BRIAN AUSTIN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MBA
Contact information
Practice address
125 N LINCOLN ST STE H, DIXON, CA 95620-3260
(707) 718-0151
(707) 637-8152
Mailing address
125 N LINCOLN ST STE H, DIXON, CA 95620-3260
(707) 718-0151
(707) 637-8152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41277
CA
Other
Enumeration date
05/09/2014
Last updated
07/23/2020
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