Individual
REBECCA BLASCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
850 PHILLIPS ST, SOUTH HAVEN, MI 49090-1845
(269) 637-5147
Mailing address
23939 FINCH AVE, MATTAWAN, MI 49071-8320
(989) 233-3405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009399
MI
Other
Enumeration date
04/05/2016
Last updated
11/13/2019
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