Individual
CASEY ALLISON BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
674 UNIONVILLE RD STE 101, KENNETT SQUARE, PA 19348-4712
(610) 925-4856
(610) 925-4859
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
27099
MD
225100000X
Physical Therapist
Primary
PT029003
PA
Other
Enumeration date
08/21/2018
Last updated
10/28/2020
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