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TURNER BLACKBURN PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1629136049
Individual Registrant: TURNER BLACKBURN PT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1140 WARM SPRINGS HWY MANCHESTER, GA 31816-1166 US
Tel: 706-846-3717 Fax: --
Tel: 706-846-3717 Fax: --
Contact information for business:
790 REMINGTON BLVD BOLINGBROOK, IL 60440-4909 US
Tel: 630-296-2223 Fax: 630-759-9510
Tel: 630-296-2223 Fax: 630-759-9510
Registration Information:
NPI: 1629136049
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | GA | 676 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
