Individual
BLAKE GREGORY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
720 W US HIGHWAY 18 STE B, GARNER, IA 50438-1022
(641) 924-0205
(641) 924-0207
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109069
IA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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