Individual
MICHAEL BLONDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., M.T.C.
Contact information
Practice address
2300 BEL AIR RD, FALLSTON, MD 21047-2716
(410) 877-0222
(410) 877-2599
Mailing address
PO BOX 179, FOREST HILL, MD 21050-0179
(410) 877-0222
(410) 877-2599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15798
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527031
CAREFIRST BC/BS
MD
Enumeration date
07/20/2006
Last updated
02/14/2008
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