Individual
BLAKE CHRISTIAN ASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2 BELMONT STREET, EASTON, MA 02356-0276
(857) 444-1026
(508) 285-4483
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(857) 444-1005
(508) 285-4483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25169
PT LICENSE
MA
Enumeration date
11/20/2020
Last updated
11/23/2020
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