Jonathan David Blackwell, PT Physical Therapis
Physical Therapist in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1124034483
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124034483
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan David Blackwell
- Credential
- PT Physical Therapis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4780 | SC | Yes |
Practice location
607 A Johnnie Dodds BlvdMt Pleasant, SC 29464
Phone 843-884-7880 · Fax 843-884-6635
Mailing address
Po Box 1390Mt Pleasant, SC 29465
Phone 843-884-7880 · Fax 843-884-6635
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All 101 Physical Therapist providers in Mt Pleasant · All 1,557 providers in Mt Pleasant
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