Cassidy Lee Blundy, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Bridgeton, MO

NPI

1124216064

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2007028760 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2007-10-04

Last updated

2007-10-04