Tammy Blades

Individual provider Active NPI Occupational Therapy Assistant · Delmar, DE

NPI 1497877906 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497877906
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
A01535 (MD)
Practice address
36515 Bi State Blvd
Delmar, DE 19940-3422
Phone
(410) 572-6207
NPI assigned
Apr 4, 2007
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

LicenseStateTypeSpecialty
A01535MDMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A01535 MD Yes

Addresses

Primary practice location

36515 Bi State Blvd
Delmar, DE 19940-3422

Mailing address

36515 Bi State Blvd
Delmar, DE 19940-3422
Phone (410) 572-6207

Other providers in Delmar, DE

All providers in Delmar, DE · Occupational Therapy Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.