Individual
TERESA BLUBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1252 BROADWAY, SUITE B, PLACERVILLE, CA 95667-5822
(530) 622-9410
Mailing address
4169 FOXWOOD LN, SHINGLE SPRINGS, CA 95682-7934
(530) 677-7334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10150
CA
Other
Enumeration date
06/28/2013
Last updated
07/24/2013
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