Individual
LYNN M BLASER-VANDERHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3922 E WHITE ASTER ST, PHOENIX, AZ 85044-6656
(602) 363-8683
(602) 363-8683
Mailing address
3922 E WHITE ASTER ST, PHOENIX, AZ 85044-6656
(602) 363-8683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52
AZ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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