Deanne Blanco, OTR/L
Occupational Therapist in Rockford, IL. Individual provider (NPI-1).
NPI number1689620783
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1689620783
- Entity type
- Individual (NPI-1)
- Name
- Deanne Blanco
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2006
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XH1200X | Occupational Therapist, Hand | 056-001827 | IL |
Practice location
324 Roxbury RdRockford, IL 61107-5090
Phone 815-398-9491 · Fax 815-381-7498
Mailing address
Box 78534Milwaukee, WI 53278-8534
Phone 815-398-9491 · Fax 815-381-7498
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