MALLORY SERPAN BLACKBURN

RALEIGH, NC
NPI1164291456
Former NameMALLORY NICOLE SERPAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  15745)
Enumeration Date2023-12-27
Last Update Date2024-03-22
Business Address
MALLORY SERPAN BLACKBURN OTR/L
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607-7511
Phone number: 919-781-4434
Mailing Address
MALLORY SERPAN BLACKBURN OTR/L
4201 LAKE BOONE TRL STE 4
RALEIGH, NC 27607-7511
Phone number: 919-781-4434