Individual
DR. LATASHA RENEE' BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2777 JEFFERSON DAVIS HWY, SUITE109, STAFFORD, VA 22554-6219
(540) 318-8615
(540) 318-8619
Mailing address
2777 JEFFERSON DAVIS HWY STE 109, STAFFORD, VA 22554-8323
(540) 318-8615
(540) 318-8619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204166
VA
Other
Enumeration date
08/28/2007
Last updated
09/17/2014
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