-- BREANNA BLACKBURN --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1023544822- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 416 W BLAIR AVE, ROCK SPRINGS, WY, 829017113
- Phone
- (307) 382-3242
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CO #PTA0014115
All Addresses
MAILING
416 W BLAIR AVE
ROCK SPRINGS, WY, 829017113