Blake Johnson
Blake Johnson is a Physical Therapist in Oceanside, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2204 S El Camino Real Ste 225Oceanside, CA 92054-6376
Phone: (858) 755-5200
Fax: (760) 826-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 304474 (CA) |
|---|
Record details
| NPI number | 1790560969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 28, 2023 |
| Last updated in NPPES | September 12, 2023 |
| Certification date | September 12, 2023 |
| Mailing address | 380 Stevens Ave Ste 314, Solana Beach, CA 92075-2069 |
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