Individual
DANIELLE BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5401 LA CROSSE AVE BLDG C, AUSTIN, TX 78739-2160
(512) 852-8134
Mailing address
205 HIDDEN SPRINGS DR, BASTROP, TX 78602-2170
(512) 308-7450
(512) 321-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1289875
TX
Other
Enumeration date
05/11/2017
Last updated
10/18/2022
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