Individual
MS. CAITLYN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAT ATC
Contact information
Practice address
9475 ROOSEVELT BLVD, PHILADELPHIA, PA 19114-2212
(215) 464-6200
(215) 464-9834
Mailing address
1220 GIBBSBORO RD, VOORHEES, NJ 08043-2229
(856) 625-1785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00202100
NJ
2255A2300X
Athletic Trainer
A00694
MD
2255A2300X
Athletic Trainer
J3-0000657
DE
2255A2300X
Athletic Trainer
Primary
RT005988
PA
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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