Individual
MRS. PATRICIA BLAKE-RAHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4202 E FOWLER AVE, PCD 1017, TAMPA, FL 33620-9951
(813) 974-9834
Mailing address
611 64TH AVE, ST PETE BEACH, FL 33706-2107
(727) 643-7329
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 414
FL
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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