Provider Demographics
NPI:1992098917
Name:BLANCHARD, ERIENNE MURPHY (PT, DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:ERIENNE
Middle Name:MURPHY
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7328 W UNIVERSITY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1635
Mailing Address - Country:US
Mailing Address - Phone:352-727-0472
Mailing Address - Fax:844-538-8496
Practice Address - Street 1:7328 W UNIVERSITY AVE STE H
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1635
Practice Address - Country:US
Practice Address - Phone:352-727-0472
Practice Address - Fax:844-538-8496
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26407225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY07UTOtherBCBS
EZ453ZOtherMEDICARE PTAN