Individual
EVELYN DIANNE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 838-9191
Mailing address
849 W GORE RD, ERIE, PA 16509-2550
(814) 864-8430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008010L
PA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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