Individual
DEVIN BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1722 RUE DESIREE, BATON ROUGE, LA 70810-3155
(225) 252-0897
Mailing address
1722 RUE DESIREE, BATON ROUGE, LA 70810-3155
(225) 252-0897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072711
TX
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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