Individual
BLAIN ALAN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W HIGHWAY 287 STE 2, FLORENCE, AZ 85132-8170
(480) 684-4728
Mailing address
23296 N HIGH DUNES DR, FLORENCE, AZ 85132-7925
(480) 684-4728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10016A
AZ
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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