Individual
HEATHER LYNN BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1011 W PENN AVE, ROBESONIA, PA 19551-9550
(610) 589-2263
(610) 589-2232
Mailing address
97 DAVIS BRIDGE RD, BERNVILLE, PA 19506-8245
(484) 818-9396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001060
PA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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