Doctor Name: | MRS. PATRICIA BLAKE |
NPI Number: | 1518169754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 212 Barney Dr Joliet, IL - 604355271 |
Business Phone Number: | 8157252194 |
Business Fax Number: | 8157255150 |
Mailing Address: | 15919 W 143rd St, HOMER GLEN |
State: | IL |
Postal Code: | 604918541 |
Phone Number: | 8158383130 |
Fax Number: | 8155883811 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |