Individual
JOANNA BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10410 COUNTY ROAD 630, BLUE RIDGE, TX 75424-2721
(469) 767-1034
Mailing address
10410 COUNTY ROAD 630, BLUE RIDGE, TX 75424-2721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108810
TX
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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