SUMMER BENTLEY BLACKBURN

LINCOLNTON, NC
NPI1245566686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  4622)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
Mrs. SUMMER BENTLEY BLACKBURN COTA/L
515 S GENERALS BLVD
LINCOLNTON, NC 28092
Phone number: 704-735-8065
Mailing Address
Mrs. SUMMER BENTLEY BLACKBURN COTA/L
1845 JETTON DR
VALE, NC 28168-7611
Phone number: 828-302-6460