LESLIE ELIZABETH BLALOCK

KINGSLAND, GA
NPI1962134064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA002877)
Enumeration Date2022-06-28
Last Update Date2022-06-28
Business Address
LESLIE ELIZABETH BLALOCK OTA/L
130 N GROSS RD STE 125
KINGSLAND, GA 31548-6263
Phone number: 912-342-8875
Mailing Address
LESLIE ELIZABETH BLALOCK OTA/L
4212 CORAL PARK DR
BRUNSWICK, GA 31520-3016
Phone number: 123-428-8759
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