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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS BLACKBURN, PTA

Active Sole Proprietor

NICHOLAS BLACKBURN, PTA is a Occupational Therapist healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1366861239 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WEST COLUMBIA, SC

Registration Details

NPI Number
1366861239
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2014 (12.318248635133 yrs)
Last Updated
Apr 8, 2014
License
1955 (SC)
Sole Proprietor
Yes

Practice Information

Address
1 STILL HOPES DR
WEST COLUMBIA, SC, 291697164
Browse SC providers · Browse ZIP 29169
Phone
8032337130
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WEST COLUMBIA, SC

Name Credential NPI
MRS. JANET BROOKS WILLIAMS PTA 1093808354
MS. LORI JEAN JORDAN LPTA 1629161237
MRS. JOYE HOFFMAN MIZELL PTA 1043307010
MRS. TAQUANA BERNETTA HOGAN PTA 1689700106
OLIVIA DUBOSE WHITLEY 1306963897
MS. TINA LEAH LAMBERT LPTA 1710194659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.