Blanco, Deanne

Blanco, Deanne is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Blanco, Deanne can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
324 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 056-001827 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1689620783
LBN Legal business name Blanco, Deanne
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 14th, 2019 - about 5 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 1689620783 NPPES
Illinois Other 753210 MEDICARE GROUP
Illinois Other 056001827 MEDICARE GROUP

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