Individual
CRISTINA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15150 SW 116TH TER, MIAMI, FL 33196-6806
(305) 979-8166
Mailing address
15150 SW 116TH TER, MIAMI, FL 33196-6806
(305) 979-8166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 28774
FL
2251S0007X
Sports Physical Therapist
PT 28774
FL
2251X0800X
Orthopedic Physical Therapist
PT 28774
FL
Other
Enumeration date
01/21/2014
Last updated
08/26/2022
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