MR. Mitchell Blank, PT

NPI #1811260284 in Tolland, Connecticut

Provider Information

NPI Number: 1811260284
Entity Type: Individual
Name: MR. Mitchell Blank, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 16, 2012
Last Updated: Feb 16, 2012

Practice Location

Address: 26 SHENIPSIT LAKE RD
City: Tolland
State: Connecticut
ZIP Code: 06084-2332
Phone: (860) 872-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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