# MAURA K BLACKSTONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568650299
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070027460 | IL | — |
| 225100000X | Physical Therapist | 1363068 | TX | Yes |
| 225100000X | Physical Therapist | 2305211239 | VA | — |
| 225100000X | Physical Therapist | 304618 | CA | — |
| 225100000X | Physical Therapist | 40QA01260100 | NJ | — |
| 225100000X | Physical Therapist | PT031329 | PA | — |
| 225100000X | Physical Therapist | PT210002312 | DC | — |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/05/2023