Individual
MR. TIMOTHY M BLANGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1900
Mailing address
5536 MUTH CIR, ALLENTOWN, PA 18104-9432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009348
PA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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