Jackie Blake
NPI #1225537269 in Wheeling, West Virginia
Provider Information
- NPI Number
- 1225537269
- Entity Type
- Individual
- Name
- Jackie Blake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 5, 2018
- Last Updated
- Feb 5, 2018
Practice Location
- Address
- 1 COMMUNITY ST
- City
- Wheeling
- State
- West Virginia
- ZIP Code
- 26003-5201
- Phone
- (304) 242-3933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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