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Individual

DAVID BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
105 EDWARDS VILLAGE BLVD, A-203, EDWARDS, CO 81632-9914
(979) 926-4600
Mailing address
PO BOX 2637, EDWARDS, CO 81632-2637
(970) 926-4600

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9177
CO

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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