Brooke Christine Blackburn, LPTA

NPI #1437391729 in Vincennes, Indiana

Provider Information

NPI Number: 1437391729
Entity Type: Individual
Name: Brooke Christine Blackburn, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Apr 1, 2009
Last Updated: Apr 1, 2009

Practice Location

Address: 1167 E SYCAMORE ST
City: Vincennes
State: Indiana
ZIP Code: 47591-3341
Phone: (812) 890-9417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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