Individual
KAREN H BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(887) 991-7837
Mailing address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(887) 991-7837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
817
NC
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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