Individual
CHET M BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
339 CLINE AVE, MANSFIELD, OH 44907-1072
(440) 639-2229
(440) 639-2264
Mailing address
7578 FREDLE DR, CONCORD TWP, OH 44077-9406
(440) 639-2229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012191
OH
Other
Enumeration date
08/07/2008
Last updated
01/02/2015
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