Individual
DR. CYNTHIA LYNN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1100 3RD AVE N, APT 313, NASHVILLE, TN 37208-2882
(708) 612-4174
Mailing address
1100 3RD AVE N, APT 313, NASHVILLE, TN 37208-2882
(708) 612-4174
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-009866
IL
Other
Enumeration date
02/22/2013
Last updated
08/29/2016
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