Tywanna Shardae Blackwell, COTA/L

NPI #1639869613 in Abbeville, South Carolina

Provider Information

NPI Number
1639869613
Entity Type
Individual
Name
Tywanna Shardae Blackwell, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
May 11, 2023
Last Updated
May 11, 2023

Practice Location

Address
83 THOMSON CIR
ZIP Code
29620-5652
Phone
(864) 366-5122

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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