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Jessica Blair, Occupational Therapy

Occupational Therapy Assistant in Troy, MI. Individual provider (NPI-1).

NPI number1003389693
StatusActive
Last updated in NPPESAug 19, 2022

Details

NPI
1003389693
Entity type
Individual (NPI-1)
Name
Jessica Blair
Credential
Occupational Therapy
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 7, 2019
Certification date
Aug 19, 2022
Last updated
Aug 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant5202008094MIYes

Practice location

210 Town Center Dr
Troy, MI 48084-1774

Phone 866-812-8896

Mailing address

5 Revere Dr Ste 120
Northbrook, IL 60062-8005

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