MICHAEL DAVID BLACKLEDGE

BURIEN, WA
NPI1053856070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT291773)
Enumeration Date2016-12-29
Last Update Date2019-05-04
Business Address
MR. MICHAEL DAVID BLACKLEDGE DPT
15811 AMBAUM BLVD SW STE 140
BURIEN, WA 98166
Phone number: 206-327-9880
Mailing Address
MR. MICHAEL DAVID BLACKLEDGE DPT
15811 AMBAUM BLVD SW STE 140
BURIEN, WA 98166-3066
Phone number: 206-327-9880
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