Individual
MISS TERRI BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4801 SPRINGFIELD ST, DAYTON, OH 45431-1084
(937) 236-9965
(937) 233-0161
Mailing address
688 HILE LN, ENGLEWOOD, OH 45322-1733
(937) 832-9207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-03652
OH
Other
Enumeration date
06/07/2008
Last updated
02/28/2014
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