Individual
BLAKE MARTIN EDWARD PARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10190 CULVER BLVD, CULVER CITY, CA 90232-3152
(310) 837-9700
(310) 837-9701
Mailing address
10190 CULVER BLVD, CULVER CITY, CA 90232-3152
(310) 837-9700
(310) 837-9701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293797
CA
Other
Enumeration date
10/26/2017
Last updated
01/06/2022
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