Most Relevant Information
Provider Data
| NPI Number: | 1003442443 |
| Provider Name: | CASSIE BLAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2020 |
| Last Updated: | 03/17/2020 |
Provider Practice Location
1700 MIDWAY RD
MENASHA
WI
549521230
Practice Location Phone/Fax
| Phone: | 9207390111 |
| Fax: |
Provider Mailing Location
1146 IVORY ST
SEYMOUR
WI
541658458
Provider Mailing Phone/Fax
| Phone: | 9204222227 |
| Fax: |