Individual
BRITTANY BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1381 TREASURE LK, DU BOIS, PA 15801-9033
(804) 771-9056
Mailing address
1381 TREASURE LK, DU BOIS, PA 15801-9033
(804) 771-9056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014760
PA
225X00000X
Occupational Therapist
OT-1656
HI
Other
Enumeration date
09/09/2015
Last updated
10/31/2018
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