Individual
ERICA MIRANDA BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1140 HOLLY SPRINGS RD STE 111, HOLLY SPRINGS, NC 27540-9634
(919) 285-2157
Mailing address
1117 MATISSE DR, FUQUAY VARINA, NC 27526-2808
(757) 333-1678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11249
NC
Other
Enumeration date
08/29/2017
Last updated
05/16/2022
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