MRS. Carolyn Gwendolyn Blankenship, PTA

NPI #1194096446 in Lafayette, Tennessee

Provider Information

NPI Number: 1194096446
Entity Type: Individual
Name: MRS. Carolyn Gwendolyn Blankenship, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 18, 2012
Last Updated: Jan 18, 2012

Practice Location

Address: 445 RICHARDSON RD
City: Lafayette
State: Tennessee
ZIP Code: 37083-3813
Phone: (615) 699-2495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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