Individual
BOBBY C BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 453-6643
Mailing address
2312 S DIXON RD, SUITE 250, KOKOMO, IN 46902-6401
(765) 455-2122
(765) 453-6643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003468A
IN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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