CRYSTAL DAWN BLANKENSHIP
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1083435077- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 121 SHERWOOD FOREST DR, COWEN, WV, 262061500
- Phone
- (304) 689-0585
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #002174