Individual
DANIELLE BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 NURSERY RD, BERWICK, PA 18603-5123
(570) 441-8159
Mailing address
171 NURSERY RD, BERWICK, PA 18603-5123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7188
AZ
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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