Ronald James Blackwell, DPT
Physical Therapist in Nutley, NJ. Individual provider (NPI-1).
NPI number1548741069
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1548741069
- Entity type
- Individual (NPI-1)
- Name
- Ronald James Blackwell
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01812400 | NJ | Yes |
Practice location
237 Franklin AveNutley, NJ 07110-2708
Phone 973-562-0080 · Fax 973-562-0081
Mailing address
11 Eagle Rock Ave Ste 201East Hanover, NJ 07936-3167
Phone 973-887-9000 · Fax 973-887-3816
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All 38 Physical Therapist providers in Nutley · All 713 providers in Nutley
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