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Individual

MRS. RACHEL ELIZABETH BLANCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
111 E WASHINGTON AVE, BRISTOW, OK 74010-3444
(918) 367-2246
Mailing address
2310 W WACO CT, BROKEN ARROW, OK 74011-1516
(918) 633-3361

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2438
OK

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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