Individual
DONALD BLANCHARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1819 HENDRICKS AVE, SUITES 2 & 3, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Mailing address
1819 HENDRICKS AVE, SUITES 2 & 3, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26318
FL
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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