Individual
CINDY BLAZONIN-NIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
N10504 GRANDVIEW LN, IRONWOOD, MI 49938-9621
(906) 932-5990
Mailing address
141 W LARCH ST, IRONWOOD, MI 49938-2721
(906) 364-0194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1766-027
WI
224Z00000X
Occupational Therapy Assistant
Primary
5202005723
MI
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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