Individual
PAUL THOMAS BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
322 E COLLEGE ST, DYER, TN 38330-1730
(731) 420-0446
Mailing address
11830 HIGHWAY 70, CEDAR GROVE, TN 38321-6456
(731) 420-0446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT502
TN
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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