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Blaine Scholes, PTA
NPI 1760122485 · on the registry since 2022 · sole proprietor
Practice
- Address
- 400 S Station Rd
Glen Carbon, IL 62034 - Phone
- (618) 288-5014
- Organisation at this address
- Eden Retirement Center, Inc.
Illinois Associates In Psychiatry PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-30
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 Illinois