Ms. Michelle Anne Blackburn
Occupational Therapist Occupational Therapist - Neurorehabilitation
77 S Canaan Rd
Canaan
, Connecticut 06018-2517
Ms. Michelle Anne Blackburn
Occupational Therapist Occupational Therapist - Neurorehabilitation
77 S Canaan Rd
Canaan
, Connecticut 06018-2517
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Ms. Michelle Anne Blackburn
- 22 Windmill Springs Drive
- Granby, CT
- Zip : 06035
- Phone :
Second Address
- Ms. Michelle Anne Blackburn
- 77 S Canaan Rd
- Canaan, CT
- Zip : 06018-2517
- Phone : (860) 824-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 001067 | CT |
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 001067 | CT |
National Provider Identifier
| NPI | 1437686466 |
|---|---|
| Provider Name | Ms. Michelle Anne Blackburn |
| First Address | Granby, CT 06035 |
| Second Address | Canaan, CT 06018-2517 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2017 |
| Last Update Date | 22/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.