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Individual
MR. JAMES BLAKELY
Active
Individual
MR. JAMES BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20500
MD
225100000X
Physical Therapist
Primary
PT015918
PA
Other
Enumeration date
04/16/2007
Last updated
02/17/2016
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