Individual
ALEC MITCHEL BLANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1220A E JOPPA RD STE 109, TOWSON, MD 21286-5816
(410) 415-1992
Mailing address
303 DELLCREST DR, FOREST HILL, MD 21050-2804
(443) 540-6498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30328
MD
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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