Individual
DR. KRISTEN BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2101 DUTCH FORK RD, WHITE ROCK, SC 29177
(803) 732-8790
Mailing address
PO BOX 444, WHITE ROCK, SC 29177-0444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8189
SC
Other
Enumeration date
10/24/2017
Last updated
01/26/2021
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