Provider Demographics
NPI:1871704551
Name:BLAGOJEVIC, ALLISON ELIZABETH MERCER (MA OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ELIZABETH MERCER
Last Name:BLAGOJEVIC
Suffix:
Gender:F
Credentials:MA OTR/L
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Other - Last Name:
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Mailing Address - Street 1:8 QUEENS WREATH WAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2110
Mailing Address - Country:US
Mailing Address - Phone:949-786-4648
Mailing Address - Fax:
Practice Address - Street 1:393 SOUTH TUSTIN STREET
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866
Practice Address - Country:US
Practice Address - Phone:714-289-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist