Individual
BLAKE CANOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 560-5409
Mailing address
100 NORTH ST APT 114, COLUMBUS, OH 43202-2093
(614) 560-5409
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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