Organization
BUCKS LYMPHEDEMA MASSAGE BY STACY BLAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY MARIE BLAINE (SOLE MEMBER)
(215) 491-1150
Entity
Organization
Contact information
Practice address
2372 GREENSWARD S, WARRINGTON, PA 18976-2040
(215) 491-1150
(215) 491-1150
Mailing address
2372 GREENSWARD S, WARRINGTON, PA 18976-2040
(215) 491-1150
(215) 491-1150
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT018677
PA
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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