| NPI | 1679026496 |
|---|---|
| Former Name | HILLARY LEANNE BLAYLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP010405T) |
| 225100000X Physical Therapist (Licence: TN 12083) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2022-09-28 |