Individual
AIDAN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
2730 UNIVERSITY BLVD W, SILVER SPRING, MD 20902-1905
(301) 962-7612
Mailing address
12900 RUXTON RD, SILVER SPRING, MD 20904-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
212767
MD
225100000X
Physical Therapist
304739
CA
Other
Enumeration date
08/25/2023
Last updated
07/21/2024
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