Doctor Name: | BLAKE MICHAEL ROSSI |
NPI Number: | 1265718035 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1011 Baldwin Park Blvd Baldwin Park, CA - 917065806 |
Business Phone Number: | 6268511101 |
Business Fax Number: | |
Mailing Address: | 106 Elmcrest Dr, Po Box 283 BIG PINE |
State: | CA |
Postal Code: | 935132004 |
Phone Number: | 7143459869 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |