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NPI Code Detail

MEDICARE: MRS. NICHELLE BLACKWELL GRANT OTR/L

MEDICARE: MRS. NICHELLE BLACKWELL GRANT OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2842SC

General Provider Information

NPI Number : 1558454504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICHELLE BLACKWELL GRANT OTR/L
Provider Business Mailing Address
First Line : 309 COPELAND CIR
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29860-8983
Country : US
Telephone Number : 803-613-1436
Fax Number :
Provider Business Practice Location Address
First Line : 350 AUSTIN GRAYBILL RD
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29860-9251
Country : US
Telephone Number : 803-278-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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