Individual
KELANDRA BLUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 515-6129
(000) 000-0000
Mailing address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 515-6129
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111751
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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