JONATHAN DAVID BLACKWELL

MT PLEASANT, SC
NPI1124034483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  4780)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Mr. JONATHAN DAVID BLACKWELL PT Physical Therapis
607 A JOHNNIE DODDS BLVD
MT PLEASANT, SC 29464
Phone number: 843-884-7880
Mailing Address
Mr. JONATHAN DAVID BLACKWELL PT Physical Therapis
PO BOX 1390
MT PLEASANT, SC 29465
Phone number: 843-884-7880
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