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1982335477
KATHRYN CORISH BLACKWELL
MACON, GA
NPI
1982335477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OT003361)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
KATHRYN CORISH BLACKWELL OTR/L
4550 ARKWRIGHT RD
MACON, GA 31210-1302
Phone number: 478-477-0601
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Mailing Address
KATHRYN CORISH BLACKWELL OTR/L
4550 ARKWRIGHT RD
MACON, GA 31210-1302
Phone number: 478-477-0601
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