Most Relevant Information
Provider Data
| NPI Number: | 1003031816 |
| Provider Name: | JAMES BLAKELY MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 20500 |
Most Important Dates
| Enumeration Date: | 04/16/2007 |
| Last Updated: | 02/17/2016 |
Provider Practice Location
1555 E WADSWORTH AVE
UNIT 1
PHILADELPHIA
PA
191501617
Practice Location Phone/Fax
| Phone: | 2673232778 |
| Fax: | 2673232774 |
Provider Mailing Location
1265 WAYNE AVE STE 308
119 PROFESSIONAL BUILDING
INDIANA
PA
157013501
Provider Mailing Phone/Fax
| Phone: | 7248018095 |
| Fax: | 7248018147 |