MR. Jonathan David Blackwell, PT PHYSICAL THERAPIS

NPI #1124034483 in Mt Pleasant, South Carolina

Provider Information

NPI Number: 1124034483
Entity Type: Individual
Name: MR. Jonathan David Blackwell, PT PHYSICAL THERAPIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT PHYSICAL THERAPIS
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 607 A JOHNNIE DODDS BLVD
City: Mt Pleasant
State: South Carolina
ZIP Code: 29464
Phone: (843) 884-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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