Individual
MEGAN BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SILVER BLUFF DR, CANTON, NC 28716-6350
(828) 648-2044
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3683
NC
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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