Provider Demographics
NPI:1164537783
Name:HUNTER, PAMELA BLANKENSHIP (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:BLANKENSHIP
Last Name:HUNTER
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:510 LINCOLN AVE
Mailing Address - Street 2:SOUTHERN ORTHOPEDIC ASSOCIATES SC
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948
Mailing Address - Country:US
Mailing Address - Phone:618-997-6800
Mailing Address - Fax:618-998-9124
Practice Address - Street 1:510 LINCOLN AVE
Practice Address - Street 2:SOUTHERN ORTHOPEDIC ASSOCIATES SC
Practice Address - City:HERRIN
Practice Address - State:IL
Practice Address - Zip Code:62948
Practice Address - Country:US
Practice Address - Phone:618-997-6800
Practice Address - Fax:618-998-9124
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist