Individual
CARA JEANETTE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
(310) 216-6153
Mailing address
8717 VENICE BLVD, LOS ANGELES, CA 90034-3216
(310) 337-7115
(310) 216-6153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9047
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 9047
OT LICENSE
CA
Enumeration date
03/29/2010
Last updated
03/29/2010
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