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Individual

SANFORD BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
Mailing address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24366
FL

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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