Stacy Blaine, PT, MSPT, CLT-LANA
NPI #1316211923 in Warrington, Pennsylvania
Provider Information
- NPI Number
- 1316211923
- Entity Type
- Individual
- Name
- Stacy Blaine, PT, MSPT, CLT-LANA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PT, MSPT, CLT-LANA
- Enumeration Date
- Feb 29, 2012
- Last Updated
- Apr 20, 2014
Practice Location
- Address
- 2372 GREENSWARD S
- City
- Warrington
- State
- Pennsylvania
- ZIP Code
- 18976-2040
- Phone
- (215) 491-1150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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