Individual
JAMIE BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
5005 CHEGALL CROSSING WAY, MOUNT HOLLY, NC 28120-0020
(845) 625-7707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14971
NC
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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