LAVELLE BLACKWELL

WASHINGTON, DC
NPI1053714907
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: DC  OT010000978)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
Mr. LAVELLE BLACKWELL
4601 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032-1131
Phone number: 202-261-6598
Mailing Address
Mr. LAVELLE BLACKWELL
7830 CONTEE RD #129
LAUREL, MD 20707-9231
Phone number: 216-789-0509
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