Individual
TIMOTHY RYAN BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ENGLAND ST FL 2, ASHLAND, VA 23005-2013
(804) 368-8475
Mailing address
11200 TISBERRY LN, ASHLAND, VA 23005-7731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002457
VA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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