MOSI BLAKE, L/ATC

NPI: 1336656263 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

305 E BRANDON BLVD
BRANDON, FL 33511-5222 Map ↗
Phone: 813-978-9700
Fax: 813-558-6187

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: AL2928, FL)

NPI Registration

Enumerated: 2017-12-31

Last CMS Update: 2021-04-22