Individual
MR. DAVID RICHARD BLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
19100 CRESCENT DR, MOKENA, IL 60448-7501
(708) 478-5400
(708) 478-5300
Mailing address
19100 CRESCENT DR, MOKENA, IL 60448-7501
(708) 478-5400
(708) 478-5300
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0056.002973
IL
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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