Individual
JESSICA ROSE BLAIKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ROUNDER WAY STE 225, BURLINGTON, MA 01803-5292
(781) 362-4638
(617) 830-9469
Mailing address
104 CREST AVE, REVERE, MA 02151-4117
(339) 532-9733
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13629
MA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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