Beth M Blankenship, PTA/L

NPI #1669944435 in Beardstown, Illinois

Provider Information

NPI Number: 1669944435
Entity Type: Individual
Name: Beth M Blankenship, PTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA/L
Enumeration Date: Dec 18, 2018
Last Updated: Dec 18, 2018

Practice Location

Address: 8306 SAINT LUKES DR
City: Beardstown
State: Illinois
ZIP Code: 62618-8384
Phone: (217) 323-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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