DOUGLAS BLAKEY

DECATUR, IL
NPI1316974611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160000106)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
-- DOUGLAS BLAKEY
185 W IMBODEN DR
DECATUR, IL 62521-5251
Phone number: 217-233-1425
Mailing Address
-- DOUGLAS BLAKEY
1340 W CALIFORNIA AVE
DECATUR, IL 62522-2716
Phone number:
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