MR. Shannon Duane Blank, P.T.

NPI #1568471753 in Olney, Illinois

Provider Information

NPI Number: 1568471753
Entity Type: Individual
Name: MR. Shannon Duane Blank, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Aug 5, 2006
Last Updated: Mar 19, 2010

Practice Location

Address: 800 E LOCUST ST
City: Olney
State: Illinois
ZIP Code: 62450-2553
Phone: (618) 395-6031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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