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Maria Blokdijk, ATC-NASM-PES

Specialist/Technologist, Athletic Trainer in Detroit, MI. Individual provider (NPI-1).

NPI number1639227325
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1639227325
Entity type
Individual (NPI-1)
Name
Ms. Maria Blokdijk
Credential
ATC-NASM-PES
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

6525 2nd Ave
Detroit, MI 48202-3006

Phone 313-972-4166

Mailing address

24736 Hopkins St
Dearborn Heights, MI 48125-1619

Phone 313-563-3962

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