Individual
MARY BLACKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 W MINERAL AVE, LITTLETON, CO 80120-5608
(303) 795-7300
Mailing address
2858 E PEAKVIEW CIR, CENTENNIAL, CO 80121-2938
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT.0000748
CO
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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