Individual
MRS. NANCY BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7 SILVER STREAM DR, WEST HARRISON, NY 10604-1514
(914) 831-9461
Mailing address
7 SILVER STREAM DR, WEST HARRISON, NY 10604-1514
(914) 831-9461
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012794-1
NY
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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