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Individual
ZACHARY BLANKENSHIP
Active
Individual
ZACHARY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1317952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317952
PHYICAL THERAPY LICENSE
TX
Enumeration date
05/14/2019
Last updated
05/14/2019
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