Individual
LYDIA KAY BLONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
1650 COCHRANE CIR B7500, FORT CARSON, CO 80913
(719) 648-0824
Mailing address
1650 COCHRANE CIR B7500, FORT CARSON, CO 80913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017232
CO
261QP2000X
Physical Therapy Clinic/Center
PTL.0047232
CO
Other
Enumeration date
09/16/2020
Last updated
07/31/2025
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