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Individual

LAURIE ANN BLASINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T

Contact information

Practice address
12 E APPLEBY RD STE 104, FAYETTEVILLE, AR 72703-3901
(479) 463-6824
(479) 463-5653
Mailing address
12 E APPLEBY RD STE 104, FAYETTEVILLE, AR 72703-3901
(479) 463-6824
(479) 463-5653

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3391
AR

Other

Enumeration date
11/01/2011
Last updated
12/03/2015
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