Individual
YOLLA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2959
(219) 836-4527
Mailing address
5160 W 86TH PL, CROWN POINT, IN 46307-1608
(219) 736-5003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000633A
IN
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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