Individual
ALYSSA MARIE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
671 3RD AVE STE F, JASPER, IN 47546-3653
(317) 701-6604
Mailing address
2117 W 1100S, HUNTINGBURG, IN 47542-9634
(317) 701-6604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007499A
IN
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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