Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT003659 | GA |
NPI | 1750481602 |
---|---|
Provider Name | Dr. Sarah Richardson Blanton |
First Address | Atlanta, GA 30322-1004 |
Second Address | Atlanta, GA 30322-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/07/2007 |