Individual
VICTORIA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATION THERAPY
Contact information
Practice address
12742 DIVISION ST UNIT 1, BLUE ISLAND, IL 60406-3476
(708) 833-3566
Mailing address
12742 DIVISION ST UNIT 1, BLUE ISLAND, IL 60406-3476
(708) 833-3566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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