Cassidy Lee Blundy PTA

NPI 1124216064 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1124216064
Gender Female
Enumeration Date 10/04/2007
Last Updated 10/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3431 BRIDGELAND DR
BRIDGETON MO, 63044-2604, US
Phone (314) 373-2095
Fax (314) 373-2096
Business Location
4850 LEMAY FERRY RD
SUITE 101
SAINT LOUIS MO, 63129-1576, US
Phone (314) 416-0439
Fax (314) 487-3062
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 2007028760
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According to our database, Cassidy Lee Blundy PTA NPI is 1124216064, taxonomy code is 225200000X and license number is 2007028760, license state is located at Missouri. Cassidy Lee Blundy PTA physically located at 3431 Bridgeland Dr, Bridgeton MO, 63044-2604. NPI Number Cassidy Lee Blundy PTA has the Individual type.

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1124216064 NPI number is provided on an as is basis without warranty of any kind. 1124216064 is maintained by the National Plan & Provider Enumeration System. The contents of Cassidy Lee Blundy PTA are for informational purposes only.