IndividualActive
Alec Blanco
NPI 1578039772 · Physical Therapy Assistant · Lake City, FL
Provider details
- NPI number
- 1578039772
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA2888 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
560 Sw Mcfarlane Ave
Lake City, FL 32025-5614
Phone: (386) 758-4777
Approximate (ZIP-level) locationGet directions
Mailing address
1036 Sw Logan Gln Apt 203
Lake City, FL 32025-5666
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2018-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.