Individual
KELLY LEE BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13696 S TOWNLINE RD, LINESVILLE, PA 16424-8170
(814) 573-4747
Mailing address
13696 S TOWNLINE RD, LINESVILLE, PA 16424-8170
(814) 573-4747
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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