MARIAH BLOUNT

LOUISVILLE, KY
NPI1730526195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502000686)
Enumeration Date2013-05-25
Last Update Date2013-05-25
Business Address
MARIAH BLOUNT PTA
303 N HURSTBOURNE PKWY
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
MARIAH BLOUNT PTA
23536 SUTTONS BAY DR
CLINTON TOWNSHIP, MI 48036-1270
Phone number: 586-703-6209