Individual
MRS. BEVERLY HYATT BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1600 W HOBBS ST, ATHENS, AL 35611-2333
(256) 232-3461
Mailing address
14312 HUNTER RD, HARVEST, AL 35749-7330
(256) 232-4808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
143
AL
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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