Individual
HEIDI R. BLACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2409 N 45TH ST, SEATTLE, WA 98103
(206) 633-8100
(206) 632-1420
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 632-1420
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
00003079
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100419
—
WA
Enumeration date
04/24/2007
Last updated
07/12/2018
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