Individual
STEPHEN BLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
3296 SANDALWOOD AVE, SPRINGFIELD, OH 45502-9283
(937) 215-7056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008107
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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