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Individual

MS. SARAH JEAN BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
34505 W 12 MILE RD STE 100, FARMINGTON HILLS, MI 48331-3287
(855) 559-7178
(855) 559-7178
Mailing address
5037 5 MILE RD, SOUTH LYON, MI 48178-9669
(734) 635-2017

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004218
MI

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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