Theresa Blanchard

NPI #1669740494 in Fort Edward, New York

Provider Information

NPI Number: 1669740494
Entity Type: Individual
Name: Theresa Blanchard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 1153 BURGOYNE AVE
Address 2: SUITE 2
City: Fort Edward
State: New York
ZIP Code: 12828-1134
Phone: (518) 746-3605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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