Individual
AUTUMN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2365 NASHVILLE RD, BOWLING GREEN, KY 42101-4144
(270) 842-1641
Mailing address
2502 LONGBRANCH RD, SEYMOUR, TN 37865-5437
(865) 228-7934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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