Blake Michael Baza
Blake Michael Baza is a Rehabilitation Practitioner in San Jose, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1870 Senter RdSan Jose, CA 95112-2528
Phone: (408) 961-4490
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1164175477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2022 |
| Last updated in NPPES | April 28, 2026 |
| Certification date | April 28, 2026 |
| Mailing address | 1870 Senter Rd, San Jose, CA 95112-2528 |
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