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NPI Code Detail

MEDICARE: ELAINA J-NELL BLANKENSHIP DPT

MEDICARE: ELAINA J-NELL BLANKENSHIP DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist34580CA

General Provider Information

NPI Number : 1679746358
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINA J-NELL BLANKENSHIP DPT
Provider Business Mailing Address
First Line : 3205 HURLEY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3853
Country : US
Telephone Number : 916-844-4228
Fax Number : 916-679-3100
Provider Business Practice Location Address
First Line : 3205 HURLEY WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95864-3853
Country : US
Telephone Number : 916-844-4228
Fax Number : 916-679-3100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 05/07/2020

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