Austin Blackmore
Occupational Therapist in Troy, MI. Individual provider (NPI-1).
NPI number1780154492
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1780154492
- Entity type
- Individual (NPI-1)
- Name
- Austin Blackmore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2018
- Last updated
- Nov 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201010034 | MI | Yes |
Practice location
1663 Stephenson HwyTroy, MI 48083-2169
Phone 231-313-4569
Mailing address
612 S Center St Apt 203Royal Oak, MI 48067-3838
Phone 231-313-4569
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All 126 Occupational Therapist providers in Troy · All 5,227 providers in Troy
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