MARK WILLIAM BLACKLEY

FORT CARSON, CO
NPI1215988605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251E1300X Physical Therapist, Electrophysiology, Clinical
(Licence: CO  2788)
Enumeration Date2006-05-12
Last Update Date2021-03-31
Business Address
MARK WILLIAM BLACKLEY Physical Therapist
PHYSICAL THERAPY CLINIC USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO 80913-4604
Phone number: 719-526-7120
Mailing Address
MARK WILLIAM BLACKLEY Physical Therapist
1650 COCHRANE CIR, ATTN: CREDENTIALS OFFICE USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO 80913-4604
Phone number: 719-526-7844
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