Individual
BLAINE ALLEN COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KT
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
VA
Other
Enumeration date
05/25/2007
Last updated
11/18/2015
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