Individual
MR. RUSSELL WEBB BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MBA
Contact information
Practice address
7551 E GRANDVIEW CIR, MESA, AZ 85207-3898
(480) 654-0261
Mailing address
7551 E GRANDVIEW CIR, MESA, AZ 85207-3898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9086PT
AZ
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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