Blaine Alan Scholes, PTA
NPI #1760122485 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1760122485
- Entity Type
- Individual
- Name
- Blaine Alan Scholes, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 30, 2022
- Last Updated
- Mar 30, 2022
Practice Location
- Address
- 400 S STATION RD
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-2743
- Phone
- (618) 288-5014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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