Individual
JANELLE MARIE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 WEYMOUTH RD, MEDINA, OH 44256-2037
(330) 725-8831
Mailing address
10109 LAKE AVE APT 110, CLEVELAND, OH 44102-1261
(216) 410-1003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008027
OH
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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