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Individual

BLYTHE KOLB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3005 S CONGRESS AVE, BOYNTON BEACH, FL 33426-9045
(772) 342-3834
Mailing address
1981 SW AARON LN, PORT ST LUCIE, FL 34953-2127
(772) 342-3834

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27229
FL

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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