Miranda Blakley, MOT

NPI #1700230869 in Wylie, Texas

Provider Information

NPI Number: 1700230869
Entity Type: Individual
Name: Miranda Blakley, MOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT
Enumeration Date: Apr 14, 2016
Last Updated: Apr 14, 2016

Practice Location

Address: 1507 STARPOINT LN
City: Wylie
State: Texas
ZIP Code: 75098-7952
Phone: (214) 785-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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