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Miranda M Blaser, DPT

Physical Therapist in Fayetteville, GA. Individual provider (NPI-1).

NPI number1467572941
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1467572941
Entity type
Individual (NPI-1)
Name
Ms. Miranda M Blaser
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT008982GAYes

Practice location

1255 Highway 54 W
Fayetteville, GA 30214-4526

Phone 770-719-7184

Mailing address

1302 Peachtree Landing Cir
Fairburn, GA 30213-4267

Phone 319-504-6640

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