Individual
STEPHEN BLANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
125 BROAD ST, WEYMOUTH, MA 02188-2336
(781) 377-3121
Mailing address
11 FRONT ST, APT 110, WEYMOUTH, MA 02188-1629
(518) 376-9945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8904
MA
Other
Enumeration date
04/19/2015
Last updated
04/19/2015
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