Individual
TAMARA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1325 HULL RD, SANDUSKY, OH 44870-6062
(419) 626-4162
(419) 626-2071
Mailing address
3489 NE CATAWBA RD, PORT CLINTON, OH 43452-9122
(419) 797-6328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01138
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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