Individual
MISS NILA N BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1315 CURT DR, CHAMPAIGN, IL 61821-1167
(217) 352-9334
(217) 352-9324
Mailing address
1315 CURT DR, CHAMPAIGN, IL 61821-1167
(217) 352-9334
(217) 352-9324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001341
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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