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Individual

ALYSSA RAE BLASKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
320 W 61ST AVE, HOBART, IN 46342-6490
(219) 947-6580
Mailing address
320 W 61ST AVE, HOBART, IN 46342-6490
(219) 947-6580

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
225X00000X
Occupational Therapist
Primary
31007662A
IN

Other

Enumeration date
10/05/2018
Last updated
02/17/2022
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