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Individual

MS. BETTY FAYE BLUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
17028 CADBURY CIR, LEWES, DE 19958-7022
(443) 614-8872
Mailing address
5 VASSAR DR, REHOBOTH BEACH, DE 19971-9420
(443) 614-8872

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
12/08/2015
Last updated
12/08/2015
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