DEANDRE D BLACKWELL

TAMPA, FL
NPI1518586734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  17774)
Enumeration Date2020-04-09
Last Update Date2020-04-19
Business Address
DEANDRE D BLACKWELL
6608 S WEST SHORE BLVD APT 4202
TAMPA, FL 33616-1560
Phone number: 813-352-5095
Mailing Address
DEANDRE D BLACKWELL
6608 S WEST SHORE BLVD APT 4202
TAMPA, FL 33616-1560
Phone number: 813-352-5095
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