FERNANDA BLACKMER

GULFPORT, MS
NPI1912709965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4769)
Enumeration Date2025-03-27
Last Update Date2025-03-27
Business Address
FERNANDA BLACKMER PTA
5502 MARVIN SHIELDS BLVD. BLDG 472
GULFPORT, MS 39501
Phone number: 228-822-5138
Mailing Address
FERNANDA BLACKMER PTA
13011 LAMBRECHT RD
GULFPORT, MS 39503-7736
Phone number: 601-307-4454
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