Individual
KIRSTYN NICOLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
KIRSTYN BLAIR COTA/L
Contact information
Practice address
1078 GARRISON RD, ASHTABULA, OH 44004-9030
(440) 855-7719
Mailing address
1078 GARRISON RD, ASHTABULA, OH 44004-9030
(440) 855-7719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007785
OH
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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