Individual
LAURA BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
216 CHANTILLY DR, WEST MONROE, LA 71291-4704
(318) 376-2575
Mailing address
3124 N SWAN RD, TUCSON, AZ 85712-1227
(520) 325-4002
(520) 325-4227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08641
LA
Other
Enumeration date
08/19/2013
Last updated
11/07/2018
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