Individual
MRS. AMY JILL BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 COUNTY DR, LACONIA, NH 03246-2900
(603) 527-5410
Mailing address
25 EFFINGWOOD FARM RD, EFFINGHAM, NH 03882-8400
(603) 301-1136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1770
NH
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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