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Individual

BARBARA P BLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6303 S EAST ST, SUITE B, INDIANAPOLIS, IN 46227-7114
(317) 791-9031
(317) 791-9001
Mailing address
8224 MANN RD, INDIANAPOLIS, IN 46221-9638
(317) 442-4734
(317) 791-9001

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
31001006 A
IN
225XP0200X
Pediatric Occupational Therapist
Primary
31001006 A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200731390 A
IN
Enumeration date
12/09/2010
Last updated
12/09/2010
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