Individual
BRANDIE BLANKENBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 W HEMLOCK ST, SEQUIM, WA 98382-3718
(360) 582-2400
Mailing address
460 E MAPLE ST, SEQUIM, WA 98382-3408
(425) 239-0238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PI60267278
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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