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Individual

LESLIE C BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.T.A.

Contact information

Practice address
1700 W MAIN ST, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027
Mailing address
1700 W MAIN ST, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA959
AR

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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