Most Relevant Information
Provider Data
| NPI Number: | 1003385808 |
| Provider Name: | KRISTIN BLANK PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT296873 |
Most Important Dates
| Enumeration Date: | 11/21/2018 |
| Last Updated: | 07/28/2020 |
Provider Practice Location
10716 LA TUNA CANYON RD
SUN VALLEY
CA
913522130
Practice Location Phone/Fax
| Phone: | 8185880288 |
| Fax: |
Provider Mailing Location
10716 LA TUNA CANYON RD
SUN VALLEY
CA
913522130
Provider Mailing Phone/Fax
| Phone: | 8185880288 |
| Fax: | 8182526450 |