Individual
CHERYL BLUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6604 LANCE ST, PANAMA CITY, FL 32404-8338
(850) 258-2563
Mailing address
6604 LANCE ST, PANAMA CITY, FL 32404-8338
(850) 258-2563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19570
FL
Other
Enumeration date
05/08/2016
Last updated
05/08/2016
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