Individual
SALLY J BLUNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-1507
Mailing address
482 LEE ROAD 554, PHENIX CITY, AL 36867-0939
(386) 405-8329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19110
FL
Other
Enumeration date
10/10/2012
Last updated
04/22/2022
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