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Individual

DR. CARMEN ELYSE BLATNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1005 S COUNTRY CLUB RD, STILLWATER, OK 74074-1430
(517) 575-5493
(405) 212-5175
Mailing address
1005 S COUNTRY CLUB RD, STILLWATER, OK 74074-1430
(517) 575-5493
(405) 212-5175

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1186757
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
TX
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296685501
TX
Enumeration date
06/02/2009
Last updated
03/15/2023
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