Individual
BLAIR DENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP011697T
OR
225100000X
Physical Therapist
PTL.0016802
CO
Other
Enumeration date
05/12/2022
Last updated
06/08/2022
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