Individual
BLAIR GINN BIENASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
5406 FAIRWAY RD, FAIRWAY, KS 66205-2639
(225) 933-1428
Mailing address
132 W GREENS DR, BATON ROUGE, LA 70810-8934
(225) 933-1428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03890
KS
Other
Enumeration date
08/06/2021
Last updated
09/20/2025
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