BRENT A BLAIR

BEAVER, WV
NPI1194076299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA 001737)
Enumeration Date2012-09-28
Last Update Date2012-09-28
Business Address
Mr. BRENT A BLAIR PTA
200 GREYSTONE DR
BEAVER, WV 25813-9154
Phone number: 304-860-1952
Mailing Address
Mr. BRENT A BLAIR PTA
200 GREYSTONE DR
BEAVER, WV 25813-9154
Phone number: 304-860-1952
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