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Individual

MISS JENNIFER LYNN BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, BCP

Contact information

Practice address
16230 BELLINGHAM DR, DARNESTOWN, MD 20874-3206
(860) 209-9183
Mailing address
16230 BELLINGHAM DR, DARNESTOWN, MD 20874-3206
(860) 209-9183

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
010000805
DC
225XP0200X
Pediatric Occupational Therapist
0119005678
VA
225XP0200X
Pediatric Occupational Therapist
Primary
06942
MD

Other

Enumeration date
02/04/2012
Last updated
08/18/2020
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