Individual
CAITLYN JENNA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
Mailing address
PO BOX 268, GLASCO, NY 12432-0268
(910) 530-5170
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64102332-01
NY
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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