Individual
JULIA BLAKEBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SHORE DR, VIRGINIA BCH, VA 23451-1199
(757) 496-1100
Mailing address
5108 CHAYOTE CT, VIRGINIA BEACH, VA 23462-1982
(757) 589-1494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603449
VA
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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