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Search › California › 225100000X

Blake Russell, MPT

NPI 1316472616 · on the registry since 2017

Practice

Address
220 Country Club Gate Ctr
Suite 11
Pacific Grove, CA 93950
Phone
(831) 917-9886
Organisation at this address
On Track Physical Therapy And Performance, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California