Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deandre D Blackwell

Individual provider Occupational Therapy Assistant · NPI 1518586734

Deandre D Blackwell is an Occupational Therapy Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

6608 S West Shore Blvd Apt 4202
Tampa, FL 33616-1560
Phone: (813) 352-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 17774 (FL)

Record details

NPI number1518586734
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESApril 19, 2020
Certification dateApril 19, 2020
Mailing address6608 S West Shore Blvd Apt 4202, Tampa, FL 33616-1560

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