Individual
MR. BENNETT MARK BLASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
701 SAVANNAH RD STE A1, LEWES, DE 19958-1550
(302) 644-2530
(302) 644-2556
Mailing address
10613 N UNION CHURCH RD, LINCOLN, DE 19960-3518
(302) 424-3266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0000153
DE
Other
Enumeration date
01/27/2023
Last updated
03/07/2023
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