Individual
MARY C BLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR, CHT
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 475-1433
(315) 475-0944
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 475-1433
(315) 475-0944
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
04456-1
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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