Individual
MRS. LAUREN C BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
360 BROCKTON AVE, STE 205, ABINGTON, MA 02351-2186
(781) 878-5550
(781) 878-5472
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010449A
IN
225100000X
Physical Therapist
Primary
20478
MA
225100000X
Physical Therapist
62P64553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113552A
—
MA
01
—
S400305304
MEDICARE PTAN
MA
Enumeration date
06/17/2008
Last updated
04/27/2021
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