Individual
KAILA BLOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 N MIDDLETOWN RD, MEDIA, PA 19063-5597
(610) 891-5600
Mailing address
81 AUGUSTA DR, ANNVILLE, PA 17003-8609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019699
PA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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