Individual
MRS. ROSALYN BLYSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6000 YOUNGSTOWN WARREN RD, NILES, OH 44446-4624
(330) 505-2800
Mailing address
1256 SIGNATURE DR, AUSTINTOWN, OH 44515-3867
(330) 505-2800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5037
OH
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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