Blake, Ian David

Blake, Ian David is an individual health care provider with primary practice located at 6767 S Yale Ave Suite B, Tulsa OK 74136-3302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blake, Ian David can be contacted via phone (918) 494-3000.

Contact Information

Primary practice address
6767 S Yale Ave Suite B Tulsa OK 74136-3302
Phone: (918) 494-3000
Fax: (918) 494-0003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT3742 Oklahoma

Profile Details

NPI number 1124094479
LBN Legal business name Blake, Ian David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jun 14th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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