Individual
AMANDA LYNN BLOKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 236-9004
Mailing address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 830-2626
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
332H00000X
Eyewear Supplier
Primary
1695
CT
Other
Enumeration date
04/14/2015
Last updated
06/15/2022
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