Provider Demographics
NPI:1144696626
Name:BLAHOVEC, THOMAS (PT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:BLAHOVEC
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KIMBROUGH AMBULATORY CARE CENTER 2481 LLEWELLYN AVE
Mailing Address - Street 2:FORT GEORGE G. MEADE
Mailing Address - City:FT. GEORGE G. MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755-5129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ANDREW RADER US ARMY HEALTH CLINIC 401 CARPENTER ROAD
Practice Address - Street 2:RM 1042
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:833-853-1392
Practice Address - Fax:888-501-0356
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305209101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist