Individual
MR. CHRISTOPHER BRIAN BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5500 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-2100
(941) 727-6100
Mailing address
13638 2ND AVE NE, BRADENTON, FL 34212-2725
(941) 708-0041
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1321
FL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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