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Individual

SETH DANIEL BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2217 PARK BEND DR STE 240, AUSTIN, TX 78758-5674
(832) 866-3073
Mailing address
1400 RIVERY BLVD APT 4210, GEORGETOWN, TX 78628-3039
(832) 866-3073

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1379060
TX

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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