Blackshear, Lena Charlene

Blackshear, Lena Charlene is an individual health care provider with primary practice located at 442 E Hampton St , Stockton CA 95204-5519. 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. Blackshear, Lena Charlene can be contacted via phone (209) 466-0456.

Contact Information

Primary practice address
442 E Hampton St Stockton CA 95204-5519
Phone: (209) 466-0456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA6329 California

Profile Details

NPI number 1881210839
LBN Legal business name Blackshear, Lena Charlene
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 5 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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