Individual
BLYTHE ARDYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6220 MOUNT HERMON CHURCH RD, DURHAM, NC 27705-8049
(919) 641-9410
Mailing address
6220 MOUNT HERMON CHURCH RD, DURHAM, NC 27705-8049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10352
NC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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