Individual
VICTORIA BLACKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 730-0293
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3638
ME
225XP0200X
Pediatric Occupational Therapist
117167
TX
Other
Enumeration date
09/18/2015
Last updated
09/11/2019
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