Shaundra Janelle Blair, OTD, OTR/L, CDP

Individual provider Active NPI Occupational Therapist · Clayton, OH

NPI 1306180153 · NPPES record last updated May 18, 2019

Key facts

NPI
1306180153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.007342 (OH)
Practice address
7007 Tamarack CT
Clayton, OH 45315-7900
Phone
(567) 204-0417
NPI assigned
Nov 18, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT.007342OHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.007342 OH Yes

Addresses

Primary practice location

7007 Tamarack CT
Clayton, OH 45315-7900

Mailing address

7007 Tamarack CT
Clayton, OH 45315-7900
Phone (567) 204-0417

Other names

  • Ms. Shaundra Janelle Garrett Former name

Other providers in Clayton, OH

All providers in Clayton, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.