Individual
EMILIA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
921 COLUMBUS DR, PASCAGOULA, MS 39567-6481
(228) 990-0576
Mailing address
921 COLUMBUS DR, PASCAGOULA, MS 39567-6481
(228) 990-0576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3255
MS
Other
Enumeration date
08/12/2016
Last updated
03/05/2024
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