Individual ProviderCourtney BlackstonOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 W Strub Rd, Suite 150, Sandusky, OH 44870-5390(419) 626-4162(419) 609-1112PECOS EnrollmentBased on the most recent information from CMS, provider Courtney Blackston does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1043663420Provider TypeIndividualFull NameBlackston, CourtneyGenderFemaleSole ProprietorNoEnumeration Date7/20/2016Last Updated12/20/2019Contact InformationPractice LocationPractice Address2500 W Strub Rd, Suite 150, Sandusky, OH 44870-5390Phone(419) 626-4162Fax(419) 626-1268Mailing LocationMailing AddressPO Box 378, Sandusky, OH 44871-0378Phone(419) 609-1112Fax(419) 502-3537Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT.009238Ohio