Lillian Bloshtein, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Marshall, MI

NPI 1821856840 · NPPES record last updated Mar 13, 2024

Key facts

NPI
1821856840
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
5201013684 (MI)
Practice address
103 E Mansion St
Marshall, MI 49068-1117
Phone
(269) 789-8990
NPI assigned
Mar 13, 2024
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
5201013684MIMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201013684 MI Yes

Addresses

Primary practice location

103 E Mansion St
Marshall, MI 49068-1117

Mailing address

103 E Mansion St
Marshall, MI 49068-1117
Phone (269) 789-8990

Other providers in Marshall, MI

All providers in Marshall, MI · Pediatric Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.