Individual
TABITHA LYNN BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N MAIN ST STE 1105, FARMVILLE, VA 23901-1300
(434) 414-2311
Mailing address
28 MOTTLEY MILL RD, CUMBERLAND, VA 23040-2400
(434) 414-2311
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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