Blaine, Cherita R

Blaine, Cherita R is an individual health care provider with primary practice located at 4415 Radnor Rd , Indianapolis IN 46226-2149. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Blaine, Cherita R can be contacted via phone (317) 542-0186.

Contact Information

Primary practice address
4415 Radnor Rd Indianapolis IN 46226-2149
Phone: (317) 542-0186
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32000124A Indiana

Profile Details

NPI number 1356537138
LBN Legal business name Blaine, Cherita R
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Jul 25th, 2008 - about 16 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 1356537138 NPPES
Indiana MEDICAID 200828270A

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