JACKIE BLAKE

WHEELING, WV
NPI1225537269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  001182)
Enumeration Date2018-02-05
Last Update Date2018-02-05
Business Address
JACKIE BLAKE
1 COMMUNITY ST
WHEELING, WV 26003-5201
Phone number: 304-242-3933
Mailing Address
JACKIE BLAKE
100 SUGAR AVE
MOUNDSVILLE, WV 26041-1287
Phone number:
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