Blackburn, Charlene

Blackburn, Charlene is an individual health care provider with primary practice located at 5284 S Commerce Dr Ste C214 , Murray UT 84107-7930. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Blackburn, Charlene can be contacted via phone (801) 462-1588.

Contact Information

Primary practice address
5284 S Commerce Dr Ste C214 Murray UT 84107-7930
Phone: (801) 462-1588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1093453870
LBN Legal business name Blackburn, Charlene
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2022
Last updated May 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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