Mya Nicole Blackwell
ActiveCalifornia license 7153
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 7153
- Status
- Active (Current)
- First issued
- April 30, 2025
- Expires
- August 31, 2028
- License holder
- Mya Nicole Blackwell
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
3843 Bur Oak Rd
San Bernardino, CA 92407-8913
San Bernardino, CA 92407-8913