Individual
MR. JEFFREY BLAKE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
Mailing address
205 ARMSTRONG ST, CENTREVILLE, MD 21617-2125
(410) 758-2323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3034
MD
225200000X
Physical Therapy Assistant
J2-0000650
DE
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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