Caressa Blackman, CTRS
NPI #1396367405 in Caddo Mills, Texas
Provider Information
- NPI Number
- 1396367405
- Entity Type
- Individual
- Name
- Caressa Blackman, CTRS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Recreation Therapist
- Credential
- CTRS
- Enumeration Date
- May 12, 2020
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 4820 CHRISTIE AVE
- City
- Caddo Mills
- State
- Texas
- ZIP Code
- 75135
- Phone
- (843) 476-3460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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| MR. Jose Guillermo Laguna, CTRS | |
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