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Individual

CATHERINE MARY BLAKELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7535
Mailing address
809 ROGERS ST NW, OLYMPIA, WA 98502-4827
(360) 402-4070

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00008505
WA
282NC0060X
Critical Access Hospital
00008505
WA

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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