Individual
MRS. CHERYL ELIZABETH BLACKMON-THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
30 PARK AVE APT 7K, MOUNT VERNON, NY 10550-2138
(914) 665-6080
Mailing address
30 PARK AVE APT 7K, MOUNT VERNON, NY 10550-2138
(914) 665-6080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1-1398
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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