Individual
MS. ELIZABETH ROSE BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2021A EMMORTON RD, BEL AIR, MD 21015-8962
(410) 515-0006
(410) 515-0027
Mailing address
2948 AIRDRIE AVE, ABINGDON, MD 21009-2421
(410) 671-4229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3217
MD
Other
Enumeration date
10/29/2007
Last updated
02/21/2009
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