Individual
NORMA JANE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 N SUPERIOR AVE, DECATUR, GA 30033-5403
(770) 876-0639
Mailing address
693 N SUPERIOR AVE, DECATUR, GA 30033-5403
(770) 876-0639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001714
GA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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