Individual
BENJAMIN J BLAIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1603 COURT ST, SYRACUSE, NY 13208-1834
(315) 445-7591
Mailing address
PO BOX 2002, EAST SYRACUSE, NY 13057-4502
(315) 449-2208
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025746
NY
Other
Enumeration date
07/29/2005
Last updated
07/08/2007
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