| NPI | 1679080386 |
|---|---|
| Other Name | JOEL D BLANCO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36067) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL3812) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2020-08-27 |