Individual
MRS. TORI BREANNE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3731-A 6TH AVENUE, SAN DIEGO, CA 92103
(619) 291-3515
(619) 374-2552
Mailing address
3731-A 6TH AVENUE, SAN DIEGO, CA 92103
(619) 291-3515
(619) 374-2552
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007091
STATE BOARD OF OCCUPATIONAL THERAPY
GA
Enumeration date
07/26/2018
Last updated
02/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us