Individual
JESSICA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(866) 812-8896
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008094
MI
Other
Enumeration date
01/07/2019
Last updated
08/19/2022
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