NPI | 1376628883 |
---|---|
Professional Name | KAREN KLECKA BLACKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070001614) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-08 |