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Contact Information

KAITLYN M BLACKBURN, PTA
2519 S ORANGE AVE
ORLANDO, FL32806-4545
 Phone: 407-648-1697
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KAITLYN M BLACKBURN · (Female)

NPI # 1285529875
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 06/12/2025
Last updated 06/12/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PTAT34078
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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