Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1326236159 |
---|---|
Provider Name | Thomas F Blaich |
First Address | Monterey, CA 93940-4438 |
Second Address | Monterey, CA 93940-4438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2007 |
Last Update Date | 10/02/2010 |