LATASHA RENEE' BLANTON

STAFFORD, VA
NPI1518151091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305204166)
Enumeration Date2007-08-28
Last Update Date2014-09-17
Business Address
Dr. LATASHA RENEE' BLANTON D.P.T.
2777 JEFFERSON DAVIS HWY SUITE109
STAFFORD, VA 22554-6219
Phone number: 540-318-8615
Mailing Address
Dr. LATASHA RENEE' BLANTON D.P.T.
2777 JEFFERSON DAVIS HWY STE 109
STAFFORD, VA 22554-8323
Phone number: 540-318-8615