Individual
HANNAH BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3916
(336) 718-6700
(336) 718-6798
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P16508
NC
225100000X
Physical Therapist
P16508
—
Other
Enumeration date
09/18/2017
Last updated
12/29/2020
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