Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE DUCOS
Active Sole ProprietorBLAKE DUCOS is a Physical Therapy Assistant healthcare provider located in RANDOLPH, New Jersey. NPI 1578178604 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RANDOLPH, NJ
Registration Details
- NPI Number
- 1578178604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2020 (5.9123796163828 yrs)
- Last Updated
- Sep 15, 2020
- License
-
40QA01956200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
390 ROUTE NJ 10SUITE 202RANDOLPH, NJ, 07869Browse NJ providers · Browse ZIP 07869
- Phone
- 9738959925
- Fax
- 9738959927
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RANDOLPH, NJ
| Name | Credential | NPI |
|---|---|---|
| JENNIFER E BUA | MSPT | 1306869755 |
| JODI E MULVEY | PT | 1942224126 |
| MR. PAUL KOCHOA | P.T., D.P.T. | 1376608968 |
| JENNIFER NEGLIA | PT | 1942329172 |
| MS. KRISTINE P PEPINO | P.T. | 1114139433 |
| STEPHEN AIELLO | MSPT | 1760634083 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.