MR. Brent A Blair, PTA
NPI #1194076299 in Beaver, West Virginia
Provider Information
- NPI Number
- 1194076299
- Entity Type
- Individual
- Name
- MR. Brent A Blair, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 28, 2012
- Last Updated
- Sep 28, 2012
Practice Location
- Address
- 200 GREYSTONE DR
- City
- Beaver
- State
- West Virginia
- ZIP Code
- 25813-9154
- Phone
- (304) 860-1952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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