Individual
BLAIR RENEE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11276 5TH ST STE 400, RANCHO CUCAMONGA, CA 91730-0923
(909) 481-0437
(909) 481-0837
Mailing address
30428 HAUN RD STE 810, MENIFEE, CA 92584-6824
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292446
CA
Other
Enumeration date
01/05/2017
Last updated
01/16/2026
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