Organization
BLANKFIELD REHAB LLC
Active
Organization
BLANKFIELD REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY EDGAR (AUTHORIZED OFFICIAL)
(480) 206-6240
Entity
Organization
Contact information
Practice address
582 OSO RIDGE RD, GRANTS, NM 87020-9404
(505) 570-3373
Mailing address
582 OSO RIDGE RD, GRANTS, NM 87020-9404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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