| Doctor Name: | JACLYN BLADY |
| NPI Number: | 1477797389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT016691 |
| Business Practice Address: | 3075 Ridge Pike Eagleville, PA - 19403 |
| Business Phone Number: | 2159628872 |
| Business Fax Number: | |
| Mailing Address: | 130 Yorkshire Way, HATBORO |
| State: | PA |
| Postal Code: | 190402110 |
| Phone Number: | 2159628872 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT016691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |