Individual
ALLYSON BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
31441 AVENIDA DE LA VIS, SAN JUAN CAPISTRANO, CA 92675-2401
(949) 312-7227
Mailing address
33936 MALAGA DR, DANA POINT, CA 92629-2455
(831) 334-1410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300233
CA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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