Mary Jo Blaschak, PT, PHD

NPI #1538300983 in Dekalb, Illinois

Provider Information

NPI Number: 1538300983
Entity Type: Individual
Name: Mary Jo Blaschak, PT, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, PHD
Enumeration Date: Mar 16, 2009
Last Updated: Mar 16, 2009

Practice Location

Address: 3100 SYCAMORE RD
City: Dekalb
State: Illinois
ZIP Code: 60115-9621
Phone: (815) 752-2675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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