Individual
MRS. JENNIFER L BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 BLUE PRIDE DRIVE, HERMANN, MO 65041-1593
(573) 486-2116
(573) 486-5106
Mailing address
170 BLUE PRIDE DRIVE, HERMANN, MO 65041-1593
(573) 486-2116
(573) 486-5106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2002016412
MO
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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