Individual
STACY BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MSPT, CLT-LANA
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
174400000X
Specialist
Primary
PT018677
PA
Other
Enumeration date
02/29/2012
Last updated
04/20/2014
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