Stefani Blackburn

NPI #1881280675 in Winnsboro, Texas

Provider Information

NPI Number: 1881280675
Entity Type: Individual
Name: Stefani Blackburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 15, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 406 S MAIN ST
City: Winnsboro
State: Texas
ZIP Code: 75494-3226
Phone: (903) 342-6790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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