MOZELLE BLACKMON

FORT LAWN, SC
NPI1942525134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  2891)
Enumeration Date2010-03-31
Last Update Date2014-01-21
Business Address
Mr. MOZELLE BLACKMON ot
5380 CRAWFORD RD
FORT LAWN, SC 29714-8562
Phone number: 803-235-3524
Mailing Address
Mr. MOZELLE BLACKMON ot
1408 JASPER RIDGE DR
FORT MILL, SC 29707-5837
Phone number: 803-235-3524