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Contact Information

LISA R BLENKLE, PT
4929 S VAL VISTA DR
GILBERT, AZ85298-0664
 Phone: 480-590-6921
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA R BLENKLE · (Female)

NPI # 1548469349
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 07/12/2007
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LPT-31502
  • CA License # PT 25362
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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