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1790950707
LISA BLACKWELL
PHILA, PA
NPI
1790950707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC003204L)
Enumeration Date
2008-04-30
Last Update Date
2008-05-19
Business Address
-- LISA BLACKWELL
3006 W OXFORD ST
PHILA, PA 19121-3512
Phone number: 215-763-7288
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Mailing Address
-- LISA BLACKWELL
3006 W OXFORD ST
PHILA, PA 19121-3512
Phone number:
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