Individual
MRS. CHERYL ANN BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 MASON DR, PINE GROVE, PA 17963-8007
(570) 695-3493
Mailing address
4 MASON DR, PINE GROVE, PA 17963-8007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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