Courtney Blackston, | |
2500 W Strub Rd, Suite 150, Sandusky, OH 44870-5390 | |
(419) 626-4162 | |
(419) 626-1268 |
Full Name | Courtney Blackston |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2500 W Strub Rd, Sandusky, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043663420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT.009238 (Ohio) | Primary |
Provider Name | Northern Ohio Medical Specialists Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
Mailing Address | Practice Location Address |
---|---|
Courtney Blackston, Po Box 378, Sandusky, OH 44871-0378 Ph: (419) 609-1112 | Courtney Blackston, 2500 W Strub Rd, Suite 150, Sandusky, OH 44870-5390 Ph: (419) 626-4162 |
Mrs. Rebecca Diane Fortune, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2025 Hayes Ave, Sandusky, OH 44870 Phone: 419-627-2273 | |
Jessica Cavello, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4806 Timber Commons Dr, Sandusky, OH 44870 Phone: 419-627-2526 Fax: 419-627-4263 | |
Amy L Mclelland, OTR/L,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4806 Timber Commons Dr, Suite A, Sandusky, OH 44870 Phone: 419-627-2526 | |
Marlita Divencenzo, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4806 Timber Commons Dr, Suite A, Sandusky, OH 44870 Phone: 419-627-2526 | |
Keri Jean Brown, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2500 W Strub Rd Ste 150, Sandusky, OH 44870 Phone: 419-626-4162 | |
Jessica L Cray-smith, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2500 W Strub Rd Ste 150, Sandusky, OH 44870 Phone: 419-626-4162 Fax: 419-626-1268 |