Individual
EMILY BLASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
4641 N 12TH ST STE 100, PHOENIX, AZ 85014-4085
(602) 281-2896
Mailing address
10602 N 35TH ST, PHOENIX, AZ 85028-3312
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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