LENA CHARLENE BLACKSHEAR PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1881210839- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 442 E HAMPTON ST, STOCKTON, CA, 952045519
- Phone
- (209) 466-0456
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #PTA6329