Individual
MISS TAMMY BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36515 BI STATE BLVD, DELMAR, DE 19940-3422
(410) 572-6207
Mailing address
36515 BI STATE BLVD, DELMAR, DE 19940-3422
(410) 572-6207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01535
MD
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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