Individual
MRS. ANNA NICOLE BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9355 WARRICK TRL, NEWBURGH, IN 47630-0015
(812) 476-9983
Mailing address
8323 LANCASTER DR, NEWBURGH, IN 47630-2707
(812) 774-5982
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001830A
IN
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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