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1194284943
BLAKE STOTTLEMYER
WINCHESTER, VA
NPI
1194284943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604035)
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
Mrs. BLAKE STOTTLEMYER PTA
400 CLOCKTOWER RIDGE DR
WINCHESTER, VA 22603-3878
Phone number: 540-431-2800
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Mailing Address
Mrs. BLAKE STOTTLEMYER PTA
384 MORGAN ST
INWOOD, WV 25428-3688
Phone number: 540-247-1193
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