Individual
JON CAMERON BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CEP
Contact information
Practice address
42 HUNTINGTON DR, DUNN, NC 28334-9635
(919) 946-2130
Mailing address
42 HUNTINGTON DR, DUNN, NC 28334-9635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17707
NC
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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