Individual
RACHEL BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
Mailing address
3701 CONSHOHOCKEN AVE APT 419, PHILADELPHIA, PA 19131-5507
(610) 574-9959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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