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Individual
RONDI A BLACKBURN
Active
Individual
RONDI A BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109042
TX
225X00000X
Occupational Therapist
10983324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396867966
—
TX
Enumeration date
08/02/2011
Last updated
08/03/2021
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