Individual
CATHY HARRIS BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
Mailing address
839 QUEENS PARK DR, OWINGS MILLS, MD 21117-2251
(410) 654-7566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02709
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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