National Provider Identifier Database

SUSAN M BLACKMORE, OT – NPI #1841368511
Hand


Contact Information

SUSAN M BLACKMORE, OT
700 S HENDERSON RD
SUITE 200
KING OF PRUSSIA, PA19406-3530
Phone: 610-768-5940
Fax: 610-768-5947
Website:
Specialty Taxonomy Code
* Hand 225XH1200X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for SUSAN M BLACKMORE

NPI Number 1841368511
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 12/01/2006
Last updated 08/23/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • PA License #: OC001407L
  • PA Other: 2138759000 IBC - KEYSTONE
  • PA Other: 1452890 IBC - PERSONAL CHOICE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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