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Individual

DANIELLE KATHLEEN BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
27330 OAK RIDGE SCHOOL RD, CONROE, TX 77385-9042
(832) 592-5467
Mailing address
2845 CAYDEN CREEK WAY, CONROE, TX 77304-3229
(817) 688-5635

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7849
TX

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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