Individual
MRS. MARY BETH BLEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT, OCS
Contact information
Practice address
1700 WILLOW LAWN DRIVE, SUITE 230, RICHMOND, VA 23230-3003
(804) 340-1193
(804) 340-1930
Mailing address
1700 WILLOW LAWN DRIVE, SUITE 230, RICHMOND, VA 23230-3003
(804) 340-1193
(804) 340-1930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010140412
—
VA
01
—
192935
BCBS PHYSICAL THERAPY
VA
01
—
7026532
AETNA
—
01
—
P00271177
RAILROAD MEDICARE
VA
Enumeration date
04/05/2006
Last updated
05/06/2016
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