Individual
MISS HELEN VIRGINIA BLACKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
4750 WESLEY AVENUE SUITE J, CINCINNATI, OH 45212
(513) 531-5110
Mailing address
8675 COTTONWOOD DRIVE, CINCINNATI, OH 45231
(513) 521-3883
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
.04166
OH
224Z00000X
Occupational Therapy Assistant
4663
KY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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