LANEY REVAE BLANKENSHIP

PARAGOULD, AR
NPI1821876269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA4834)
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
LANEY REVAE BLANKENSHIP
115 N 14TH ST
PARAGOULD, AR 72450
Phone number: 870-476-9017
Mailing Address
LANEY REVAE BLANKENSHIP
2903 STONEGATE DRIVE
PARAGOULD, AR 72450
Phone number: 870-450-1413
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