Individual
BLAIR DENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2645 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3658
(541) 267-5395
Mailing address
2645 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3658
(541) 267-5395
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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