Individual
MARIAH BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
23536 SUTTONS BAY DR, CLINTON TOWNSHIP, MI 48036-1270
(586) 703-6209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000686
MI
Other
Enumeration date
05/25/2013
Last updated
05/25/2013
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