Individual
MRS. JULIE L BLANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, ATC, CSCS, PRC
Contact information
Practice address
2830 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7614
(757) 416-6700
(757) 416-7777
Mailing address
1340 N GREAT NECK RD, #1272-182, VIRGINIA BEACH, VA 23454-2268
(757) 416-6700
(757) 416-7777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204000
VA
225100000X
Physical Therapist
38183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010125511
—
VA
01
—
192933
BCBS PHYSICAL THERAPY
VA
01
—
7883577
AETNA
—
01
—
P00175699
RAILROAD MEDICARE
VA
Enumeration date
04/03/2006
Last updated
03/14/2016
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