Individual
KELSEY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(610) 425-8691
Mailing address
19-12 VALLEY RD, DREXEL HILL, PA 19026-5400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC15660
PA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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