Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN ALLEN BLY, PTA
ActiveSpecialist · ROSLINDALE, MA
Registration Details
- NPI Number
- 1609232636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2016 (10.309122022167 yrs)
- Last Updated
- Jan 6, 2016
- License
-
9047 (MA)
Practice Information
- Address
-
15 MOSGROVE AVEROSLINDALE, MA, 021311113Browse MA providers · Browse ZIP 02131
- Phone
- 6174015892
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in ROSLINDALE, MA
| Name | Credential | NPI |
|---|---|---|
| INGA LIBERMAN | PT | 1053429951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.