Individual
MR. BARRY TODD BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
(919) 781-9564
Mailing address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
(919) 781-9564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3337
NC
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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