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Individual

KRISTY A BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.T

Contact information

Practice address
16004 NORMANDY CT, WOODBRIDGE, VA 22191-4321
(860) 608-5019
Mailing address
16004 NORMANDY CT, WOODBRIDGE, VA 22191-4321
(860) 608-5019

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305207764
VA
174400000X
Specialist
PT 32648
CA

Other

Enumeration date
06/17/2008
Last updated
04/26/2016
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