Individual
JOHN D. BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7887
(417) 678-7876
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7887
(417) 678-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102571
MO
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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