Provider Demographics
NPI:1831345206
Name:BLACKBURN, ALISHA DEE (OTR)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:DEE
Last Name:BLACKBURN
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 OAKVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1210
Mailing Address - Country:US
Mailing Address - Phone:303-908-1584
Mailing Address - Fax:
Practice Address - Street 1:266 OAKVILLE RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1210
Practice Address - Country:US
Practice Address - Phone:303-908-1584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019292225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist