Individual
MRS. KELLEY DIANE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
517 BROOKWOOD DR, MOUNT PLEASANT, TX 75455-6003
(903) 305-6960
Mailing address
517 BROOKWOOD DR, MOUNT PLEASANT, TX 75455-6003
(903) 305-6960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2167412
TX
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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