Individual
AMY CAROLINE BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4039 OLD WHEELING ROAD, ZANESVILLE, OH 43701
(740) 450-7091
Mailing address
4039 OLD WHEELING RD, ZANESVILLE, OH 43701-8532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003134
OH
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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