Individual
GWENDOLYN BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 SW 29TH ST, TOPEKA, KS 66611-1901
(785) 272-1535
Mailing address
1226 SW COLLEGE AVE, TOPEKA, KS 66604-1468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00227
KS
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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