DR. Jacques S. J. Blanchard, D.P.T.,

NPI #1023110616 in Lake Grove, New York

Provider Information

NPI Number: 1023110616
Entity Type: Individual
Name: DR. Jacques S. J. Blanchard, D.P.T.,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: D.P.T.,
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8 OAKWOOD CT
City: Lake Grove
State: New York
ZIP Code: 11755-1912
Phone: (917) 213-8548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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