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Sharon A Blake
Pediatric Physical Therapist in Leesburg, Florida
NPI 1275182941

Sharon A Blake is a Pediatric Physical Therapist based in Eustis, FL and is specialized in Pediatrics. Sharon A Blake practices in Leesburg, FL. The NPI Number for Sharon A Blake is 1275182941 and holds a License No. PT10709 (Florida).

The current practice location address for Sharon A Blake is 606 S 9Th St, Leesburg, FL and can be reached out via phone at 352-805-4404. You can also correspond with Sharon A Blake through the mailing address at 2980 W BEAUMONT LN, EUSTIS, FL - 32726-2071 (mailing address contact number: 773-837-2921).

Location: 606 S 9Th St, Leesburg, FL, 32726-2071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275182941
Provider Name
Sharon A Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
606 S 9Th St, Leesburg, FL, 32726-2071
Phone Number
352-805-4404
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14535847 05 FL
institution
Provider Business Practice Location Address Details
Address
606 S 9Th St
City
Leesburg
State
Florida
Zip
34748-6320
Phone Number
352-805-4404
Fax Number
person
Provider Business Mailing Address Details
Address
606 S 9Th St
City
Leesburg
State
Florida
Zip
34748-6320
Phone Number
352-805-4404
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT10709 (Florida)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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