Individual
BROOKE CHRISTINE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1167 E SYCAMORE ST, VINCENNES, IN 47591-3341
(812) 890-9417
Mailing address
1167 E SYCAMORE ST, VINCENNES, IN 47591-3341
(812) 890-9417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004656
IL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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