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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 Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SUSAN M BLACKMORE · (Female)

NPI Number 1841368511
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 12/01/2006
Last updated 08/23/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OC001407L
  • PA Other 2138759000 IBC - KEYSTONE
  • PA Other 1452890 IBC - PERSONAL CHOICE
Hospital affiliation(s) Not Available
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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