Individual
MISS CHRISTINA BLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
440 EDMOND DR., DYER, IN 46311-1523
(219) 322-1415
Mailing address
440 EDMOND DR., DYER, IN 46311-1523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005064A
IN
Other
Enumeration date
08/31/2012
Last updated
03/31/2020
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