Joanna Blackwood, OTR

NPI #1053874198 in Blue Ridge, Texas

Provider Information

NPI Number: 1053874198
Entity Type: Individual
Name: Joanna Blackwood, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 6, 2019
Last Updated: Apr 6, 2019

Practice Location

Address: 10410 COUNTY ROAD 630
City: Blue Ridge
State: Texas
ZIP Code: 75424-2721
Phone: (469) 767-1034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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