Individual
MRS. JOANNE R BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25 PLAZA DR., UNIT 6, SCARBOROUGH, ME 04074
(207) 289-1010
(207) 289-1011
Mailing address
25 PLAZA DR., UNIT 6, SCARBOROUGH, ME 04074
(207) 289-1010
(207) 289-1011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT270
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11223452
CAQH #
ME
Enumeration date
08/17/2006
Last updated
04/12/2017
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