JERRY W BLAKELY

COEUR D ALENE, ID
NPI1891992657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
-- JERRY W BLAKELY PT
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
Mailing Address
-- JERRY W BLAKELY PT
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
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