BREANNA BLACKBURN

ROCK SPRINGS, WY
NPI1023544822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA0014115)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- BREANNA BLACKBURN
416 W BLAIR AVE
ROCK SPRINGS, WY 82901-7113
Phone number: 307-382-3242
Mailing Address
-- BREANNA BLACKBURN
416 W BLAIR AVE
ROCK SPRINGS, WY 82901-7113
Phone number:
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