KELLIE JUSTICE BLANCHARD

CHARLESTON, WV
NPI1073521787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  002161)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
KELLIE JUSTICE BLANCHARD MSPT
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
Mailing Address
KELLIE JUSTICE BLANCHARD MSPT
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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