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Jeanine Blanks

Physical Therapist in Weatherford, TX. Individual provider (NPI-1).

NPI number1972157360
StatusActive
Last updated in NPPESJul 24, 2019

Details

NPI
1972157360
Entity type
Individual (NPI-1)
Name
Jeanine Blanks
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 24, 2019
Last updated
Jul 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1059541TXYes

Practice location

1305 Cabaniss Ln # 2
Weatherford, TX 76088-5800

Phone 817-692-1700

Mailing address

1305 Cabaniss Ln # 2
Weatherford, TX 76088-5800

Phone 817-692-1700

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