Individual
MR. COREY R. BLAKESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
(518) 828-8772
Mailing address
5 MAPLECREST DR, RAVENA, NY 12143-9753
(518) 469-7122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025456-1
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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