Individual
DEBORAH ANNE BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30795 23 MILE RD, CHESTERFIELD, MI 48047-5720
(586) 421-3030
(586) 421-3031
Mailing address
50709 BOWER DR, CHESTERFIELD, MI 48047-5723
(586) 322-9680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000448
MI
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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