Jennifer L Blair, OTR/L
Individual provider Active NPI Occupational Therapist · Hermann, MO
NPI 1093099384 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1093099384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2002016412 (MO)
- Practice address
- 170 Blue Pride Drive
Hermann, MO 65041-1593 - Phone
- (573) 486-2116
- Fax
- (573) 486-5106
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002016412 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2002016412 | MO | Yes |
Addresses
Primary practice location
170 Blue Pride Drive
Hermann, MO 65041-1593
Mailing address
170 Blue Pride Drive
Hermann, MO 65041-1593
Phone (573) 486-2116
Other providers in Hermann, MO
- Jennifer A Allen
- Americare at Victorian Manor of Hermann, LLC
- Jack Fredrick Backs
- John Earl Bader Jr.
- Laurel L Baumstark
- Barbara Dale Carr
- Emmogene Lee Chepely
- Steven Ciegel
- Shelby Kate Cooper
- Gracie Lynn Copeland
All providers in Hermann, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.