NPI 1114168036

Angela Kathryn Blackerby, COTAL

Practitioner Occupational Therapy Assistant Columbus, OH

Practice location

Address: 4301 Clime Rd N, Columbus, OH 43228-3403
Phone: (614) 824-4079

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA 03124 (OH)

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Registry record

NPI: 1114168036
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2009
Record last updated: 24 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.