Individual
JESSICA BLAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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