Individual
BLAKELEY HYDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1941 SAVAGE RD, STE 300A, CHARLESTON, SC 29407-4704
(843) 402-1495
(843) 402-1285
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7869
SC
Other
Enumeration date
09/01/2015
Last updated
08/18/2016
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