MRS. Avery Lauren Blackburn, COTA/L
NPI #1235728866 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1235728866
- Entity Type
- Individual
- Name
- MRS. Avery Lauren Blackburn, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jan 18, 2021
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 1620 MIDTOWN PL
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-6347
- Phone
- (580) 641-2681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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