Individual
MR. JAMES GERARD BLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3111 CLEARWATER DRIVE, ARIZONA HAND CENTER AND PHYSICAL, SUITE C, PRESCOTT, AZ 86305-7186
(928) 777-9890
(928) 777-9891
Mailing address
6740 HOMESTEAD DRIVE, MCHENRY, IL 60050
(815) 353-0627
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.001645
IL
Other
Enumeration date
10/31/2024
Last updated
11/01/2024
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