Victoria Blackmon, OCCUPATION THERAPY
NPI #1396368114 in Blue Island, Illinois
Provider Information
- NPI Number
- 1396368114
- Entity Type
- Individual
- Name
- Victoria Blackmon, OCCUPATION THERAPY
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OCCUPATION THERAPY
- Enumeration Date
- May 27, 2020
- Last Updated
- May 27, 2020
Practice Location
- Address
- 12742 DIVISION ST UNIT 1
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-3476
- Phone
- (708) 833-3566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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