Individual provider · NPI-1

Dr. Elizabeth Blake, D.O.

Physical Medicine & Rehabilitation · Bethesda, MD

NPI number1497914048
StatusActive
Last updated in NPPESJun 8, 2008

Details

NPI
1497914048
Entity type
Individual (NPI-1)
Name
Dr. Elizabeth Blake
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 8, 2008
Last updated
Jun 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationH0048117MDYes

Practice location

8721 Bradmoor Dr
Bethesda, MD 20817-3636

Phone 301-571-9781

Mailing address

8721 Bradmoor Dr
Bethesda, MD 20817-3636

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