Individual
CAROLYN MICHELLE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 E COUNTY LINE RD STE 100, TAMPA, FL 33647-1855
(813) 461-8840
(813) 461-8834
Mailing address
8808 WYNDBROOK CT, ODESSA, FL 33556-1713
(813) 598-6210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
06/01/2025
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