Ian David Blake, PT
Physical Therapist in Tulsa, OK. Individual provider (NPI-1).
NPI number1124094479
StatusActive
Last updated in NPPESJun 14, 2010
Details
- NPI
- 1124094479
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ian David Blake
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Jun 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT3742 | OK | Yes |
Practice location
6767 S Yale AveSuite B
Tulsa, OK 74136-3302
Phone 918-494-3000 · Fax 918-494-0003
Mailing address
6767 S Yale AveSuite B
Tulsa, OK 74136-3302
Phone 918-494-3000 · Fax 918-494-0003
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All 437 Physical Therapist providers in Tulsa · All 22,692 providers in Tulsa
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