Individual
COURTNEY BLACKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W STRUB RD, SUITE 150, SANDUSKY, OH 44870-5390
(419) 626-4162
(419) 626-1268
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 502-3537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.009238
OH
Other
Enumeration date
07/20/2016
Last updated
12/20/2019
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