Dr. Blake Arnold Dircksen
Physical Therapist - Orthopedic
41 Union Sq W Ste 325
New York
, New York 10003-3234
Dr. Blake Arnold Dircksen
Physical Therapist - Orthopedic
41 Union Sq W Ste 325
New York
, New York 10003-3234
(317) 385-8525
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Blake Arnold Dircksen
- 19598 Wagon Trail Dr
- Noblesville, IN
- Zip : 46060-1153
- Phone : (317) 385-8525
Second Address
- Dr. Blake Arnold Dircksen
- 41 Union Sq W Ste 325
- New York, NY
- Zip : 10003-3234
- Phone : (917) 494-4284
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic |
National Provider Identifier
| NPI | 1073023735 |
|---|---|
| Provider Name | Dr. Blake Arnold Dircksen |
| First Address | Noblesville, IN 46060-1153 |
| Second Address | New York, NY 10003-3234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2017 |
| Last Update Date | 09/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.