EBONI N BLAKELY

COLUMBIA, TN
NPI1962547877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  PT000006770)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Ms. EBONI N BLAKELY PT
1224 TROTWOOD AVE
COLUMBIA, TN 38401-4802
Phone number: 931-381-1111
Mailing Address
Ms. EBONI N BLAKELY PT
1224 TROTWOOD AVE
COLUMBIA, TN 38401-4802
Phone number: 931-381-1111
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