| NPI | 1225422058 |
|---|---|
| Other Name | LILLIAN ELIZABETH BLACKMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT16903) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 16903) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2021-04-20 |