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Brent Blair, PTA
NPI 1194076299 · on the registry since 2012 · sole proprietor
Practice
- Address
- 200 Greystone Dr
Beaver, WV 25813 - Phone
- (304) 860-1952
- Organisation at this address
- Powerback Rehabilitation Llc
Wssh Powerback Rehabilitation Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia