Individual
EILEEN BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6337 RACE ST, PHILADELPHIA, PA 19139-2206
(215) 206-8606
Mailing address
6337 RACE ST, PHILADELPHIA, PA 19139-2206
(215) 206-8606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP00577
PA
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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