Blackburn, Rondi A

Blackburn, Rondi A is an individual health care provider with primary practice located at 612 S Irene St , San Angelo TX 76903-6629. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Blackburn, Rondi A can be contacted via phone (325) 658-6571.

Contact Information

Primary practice address
612 S Irene St San Angelo TX 76903-6629
Phone: (325) 658-6571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10983324 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 109042 Texas

Profile Details

NPI number 1710265111
LBN Legal business name Blackburn, Rondi A
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Aug 3rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710265111 NPPES
Texas MEDICAID 1396867966

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