Gina Lynette Blackerby, P.T.

NPI #1689679466 in Iowa Park, Texas

Provider Information

NPI Number: 1689679466
Entity Type: Individual
Name: Gina Lynette Blackerby, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 17, 2005
Last Updated: Aug 6, 2014

Practice Location

Address: 620 W BANK ST
City: Iowa Park
State: Texas
ZIP Code: 76367-2830
Phone: (940) 592-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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