Individual
MARISSA LOUISE BLACKWELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N ELM ST, HIGH POINT, NC 27262-3917
(800) 235-3645
Mailing address
11816 TRINITY RD, TRINITY, NC 27370-8300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17006
NC
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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