Blackburn, Breanna

Blackburn, Breanna is an individual health care provider with primary practice located at 416 W Blair Ave , Rock Springs WY 82901-7113. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Blackburn, Breanna can be contacted via phone (307) 382-3242.

Contact Information

Primary practice address
416 W Blair Ave Rock Springs WY 82901-7113
Phone: (307) 382-3242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA0014115 Colorado

Profile Details

NPI number 1023544822
LBN Legal business name Blackburn, Breanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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