AVERY LAUREN BLACKBURN

MIDWEST CITY, OK
NPI1235728866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  2034)
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
Mrs. AVERY LAUREN BLACKBURN COTA/L
1620 MIDTOWN PL
MIDWEST CITY, OK 73130-6347
Phone number: 580-641-2681
Mailing Address
Mrs. AVERY LAUREN BLACKBURN COTA/L
1620 MIDTOWN PL
MIDWEST CITY, OK 73130-6347
Phone number: 580-641-2681