Individual
JASON BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23415 THREE NOTCH RD STE 2026, CALIFORNIA, MD 20619-4021
(240) 530-8188
Mailing address
21942 SHORT BOW CT, CALIFORNIA, MD 20619-2247
(301) 751-4442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2926
MD
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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