WILBUR LEW BLACKMAN

CARROLLTON, GA
NPI1033173000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  006344)
Enumeration Date2006-04-14
Last Update Date2007-07-09
Business Address
-- WILBUR LEW BLACKMAN MPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
Mailing Address
-- WILBUR LEW BLACKMAN MPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436