Individual
MRS. JANICE KAY BLAZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3541 RANDOLPH RD, SUITE 100, CHARLOTTE, NC 28211-1082
(704) 323-2520
(704) 323-2501
Mailing address
694 REVIVAL ROW, FORT MILL, SC 29708-8959
(757) 639-5653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8438
SC
Other
Enumeration date
02/02/2006
Last updated
02/06/2017
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