Individual
JONATHAN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6872 E SUNRISE DR STE 100, TUCSON, AZ 85750-0861
(520) 989-5515
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1357248
TX
Other
Enumeration date
03/07/2022
Last updated
12/04/2024
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