Individual
VINCENT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28536
FL
225100000X
Physical Therapist
Primary
PT 003354
WV
2255A2300X
Athletic Trainer
AT001360
WV
2255A2300X
Athletic Trainer
AT001666
GA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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