Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MOZELLE BLACKMON JR., OT
Active Sole ProprietorMR. MOZELLE BLACKMON JR., OT is a Occupational Therapist healthcare provider located in FORT LAWN, South Carolina. NPI 1942525134 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT LAWN, SC
Registration Details
- NPI Number
- 1942525134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2010 (16.331355253458 yrs)
- Last Updated
- Jan 21, 2014
- License
-
2891 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5380 CRAWFORD RDFORT LAWN, SC, 297148562Browse SC providers · Browse ZIP 29714
- Phone
- 8032353524
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.