Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. GLORIA D BLACKMON
Active Sole ProprietorMS. GLORIA D BLACKMON is a Physical Therapist Assistant healthcare provider located in DETROIT, Michigan. NPI 1619622354 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1619622354
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2022 (4.4938484633713 yrs)
- Last Updated
- Feb 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
11891 WISCONSIN STREETDETROIT, MI, 482041045Browse MI providers · Browse ZIP 48204
- Phone
- 2485082611
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Other Physical Therapist Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MR. GUADALUPE BRAVO | CP | 1619128030 |
| MR. LORENZO D PEARSON II | CERT HAIR LOSS SPECI | 1558843037 |
| DIAMOND MARIE MASSEY | — | 1518437805 |
| MARLENA YOUNG | HAIR LOSS CERTIFICAT | 1184232829 |
| LAVERNE DENISE WILLIAMS | — | 1609473511 |
| DEYONTA NEWSOME | — | 1174106579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.