Individual provider · Type 1 NPI
Jonathan Allen Bly, PTA
Specialist · Roslindale, MA
NPI number
1609232636
Active
Practice location
15 Mosgrove Ave
Roslindale, MA 02131-1113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 9047 (MA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Roslindale
About NPI 1609232636
Jonathan Allen Bly, PTA's National Provider Identifier is 1609232636, issued on Jan 6, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roslindale, MA. The record was last updated on Jan 6, 2016.