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Individual

JESSICA ANN BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
345 POCAHONTAS TRL, WHITE SULPHUR SPRINGS, WV 24986-9793
(304) 536-4661
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(681) 318-0534

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA001703
WV

Other

Enumeration date
10/04/2019
Last updated
10/04/2019
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