KEITH BLAUVELT
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1255818035- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2 KATHLEEN DR, JACKSON, NJ, 085272269
- Phone
- (732) 474-6055
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NJ #40qb00295700