Individual
ANNA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2387 WARM HEARTH DR, BLACKSBURG, VA 24060-6281
(540) 552-9176
Mailing address
292 ALLEGHANY SPRING RD APT 3, SHAWSVILLE, VA 24162-1887
(540) 892-3839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B69726920
DRIVERS LICENSE
VA
Enumeration date
10/22/2020
Last updated
10/22/2020
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