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Contact Information

MITCHELL BLANK, PT
26 SHENIPSIT LAKE RD
TOLLAND, CT06084-2332
 Phone: 860-872-2999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MITCHELL BLANK · (Male)

NPI Number 1811260284
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/16/2012
Last updated 02/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 5372
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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