Individual
MR. BRIAN PAUL BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
755 N SHEPARD ST, ANAHEIM, CA 92806-2836
(714) 630-6252
(714) 630-6048
Mailing address
1800 E LAMBERT RD, SUITE 220, BREA, CA 92821-4370
(714) 256-5074
(714) 256-0770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
32518
CA
225100000X
Physical Therapist
Primary
PT32518
CA
Other
Enumeration date
11/01/2006
Last updated
10/03/2016
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