Individual
BLYTHE W BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14280 WALSINGHAM RD, LARGO, FL 33774-3231
(727) 596-2101
Mailing address
3110 GRAND AVE APT 6305, PINELLAS PARK, FL 33782-6189
(769) 232-5205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41932
FL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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