Individual
MRS. MICHELE GAYLYNN BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9139 EMGE RD, EVANSVILLE, IN 47720-7965
(812) 457-5228
Mailing address
9139 EMGE RD, EVANSVILLE, IN 47720-7965
(812) 457-5228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002462A
IN
Other
Enumeration date
12/26/2006
Last updated
01/09/2019
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