Organization
BLANKENHEIM SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BLANKENHEIM OTR, MSIE, CPE, CSP (MANAGING MEMBER)
(920) 830-6697
Entity
Organization
Contact information
Practice address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1601
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1601
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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