Individual
SARAH ELIZABETH BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
90 HUMBERT LN STE 1, WASHINGTON, PA 15301-6549
(330) 429-3715
Mailing address
90 HUMBERT LN STE 1, WASHINGTON, PA 15301-6549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009089
PA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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