Individual
MRS. JULIE L BLANDIN
Active
Individual
MRS. JULIE L BLANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, ATC, CSCS, PRC
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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