Individual
MR. BRANDON J BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2428 BAHAMA DR, DALLAS, TX 75211-2121
(214) 948-3811
Mailing address
821 ALLEN ST APT 1016, DALLAS, TX 75204-5890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110999
TX
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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