Individual
SEAN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA, PTA LICENSE
Contact information
Practice address
201 TALBOT BLVD STE W, CHESTERTOWN, MD 21620-3000
(410) 778-3445
Mailing address
201 TALBOT BLVD STE W, CHESTERTOWN, MD 21620-3000
(410) 778-3445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4690
MD
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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