IndividualActive
Alex Blackburn
NPI 1063300382 · Physical Therapist · New Bedford, MA
Provider details
- NPI number
- 1063300382
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTL88854 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
863 Hathaway Rd
New Bedford, MA 02740-1916
Phone: (508) 996-6763
Approximate (ZIP-level) locationGet directions
Mailing address
345 Natick Ct
Wexford, PA 15090-9574
Registry dates
- Enumerated
- 2025-06-25
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.