Kaycie Linn Blanshan, COTA/L

NPI #1962001172 in Lebanon, Oregon

Provider Information

NPI Number: 1962001172
Entity Type: Individual
Name: Kaycie Linn Blanshan, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant - Environmental Modification
Credential: COTA/L
Enumeration Date: Oct 19, 2020
Last Updated: Oct 19, 2020

Practice Location

Address: 350 S 8TH ST
City: Lebanon
State: Oregon
ZIP Code: 97355-2242
Phone: (541) 259-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Environmental Modification — Environmental Modification	224ZE0001X	Primary

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