Elizabeth Renee Blackwell, PT

NPI #1467924720 in Bryan, Texas

Provider Information

NPI Number: 1467924720
Entity Type: Individual
Name: Elizabeth Renee Blackwell, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 27, 2018
Last Updated: Dec 27, 2018

Practice Location

Address: 3700 CROSS PARK DR
City: Bryan
State: Texas
ZIP Code: 77802-4137
Phone: (979) 774-9958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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