Individual
MRS. NAKITA DANIELLA BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
1483 TOBIAS GADSON BLVD STE 205B, CHARLESTON, SC 29407-4641
(843) 766-6494
Mailing address
1483 TOBIAS GADSON BLVD STE 205B, CHARLESTON, SC 29407-4641
(843) 766-6494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5207
SC
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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