Christina Blazo, OT
Individual provider Active NPI Occupational Therapist · Dyer, IN
NPI 1720337066 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1720337066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31005064A (IN)
- Practice address
- 440 Edmond Dr.
Dyer, IN 46311-1523 - Phone
- (219) 322-1415
- NPI assigned
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 31005064A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care Therapy LTD | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005064A | IN | Yes |
Addresses
Primary practice location
440 Edmond Dr.
Dyer, IN 46311-1523
Mailing address
440 Edmond Dr.
Dyer, IN 46311-1523
Other providers in Dyer, IN
- Jocelyn Denise Betts
- Umar Bhatti
- Bio-Medical Applications of Indiana, Inc.
- Kidanu Birhanu
- Lara Marie Blanchard
- Christina Bocken
- Mohen Bohjwani
- Angela Boose
- James A Borgetti
- Alyssa Marie Borkowski
All providers in Dyer, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. 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.