Leslie Elizabeth Blalock, OTA/L

NPI #1962134064 in Kingsland, Georgia

Provider Information

NPI Number
1962134064
Entity Type
Individual
Name
Leslie Elizabeth Blalock, OTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
OTA/L
Enumeration Date
Jun 28, 2022
Last Updated
Jun 28, 2022

Practice Location

Address
130 N GROSS RD STE 125
State
Georgia
ZIP Code
31548-6263
Phone
(912) 342-8875

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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