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

MARY BLACKMORE

Active Sole Proprietor

MARY BLACKMORE is a Gerontology Occupational Therapist healthcare provider located in LITTLETON, Colorado. NPI 1962924019 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · LITTLETON, CO

Registration Details

NPI Number
1962924019
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2017 (9.1304491082058 yrs)
Last Updated
Jul 11, 2017
License
OT.0000748 (CO)
Sole Proprietor
Yes

Practice Information

Address
1500 W MINERAL AVE
LITTLETON, CO, 801205608
Browse CO providers · Browse ZIP 80120
Phone
3037957300
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
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.