Individual
MS. CAROLYNN K BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
369 COUNTY ROAD 45440, BLOSSOM, TX 75416-3323
(806) 548-0875
Mailing address
369 COUNTY ROAD 45440, BLOSSOM, TX 75416-3323
(806) 548-0875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2009114
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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