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Individual

DR. BLAINE T LEPERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
11224 PARK BLVD, SEMINOLE, FL 33772-4752
(727) 394-0949
Mailing address
6333 DARTMOUTH AVE N, ST PETERSBURG, FL 33710-7747

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36576
FL

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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