Individual
DANIELLE LORINDA BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19205 PEARL RD APT 203, STRONGSVILLE, OH 44136-6903
(440) 219-8324
Mailing address
2220 GRANTWOOD DR, PARMA, OH 44134-4012
(216) 965-4236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006969
OH
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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