MRS. Jennifer Lynn Blaze, OTR

NPI #1184749152 in Naugatuck, Connecticut

Provider Information

NPI Number: 1184749152
Entity Type: Individual
Name: MRS. Jennifer Lynn Blaze, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4 HAZEL AVE
City: Naugatuck
State: Connecticut
ZIP Code: 06770-4706
Phone: (203) 720-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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