Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE ELIZABETH BLALOCK, OTA/L
Active Sole ProprietorLESLIE ELIZABETH BLALOCK, OTA/L is a Occupational Therapy Assistant healthcare provider located in KINGSLAND, Georgia. NPI 1962134064 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · KINGSLAND, GA
Registration Details
- NPI Number
- 1962134064
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2022 (4.1371910965244 yrs)
- Last Updated
- Jun 28, 2022
- License
-
OTA002877 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 N GROSS RD STE 125KINGSLAND, GA, 315486263Browse GA providers · Browse ZIP 31548
- Phone
- 9123428875
- Fax
- 9123428016
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in KINGSLAND, GA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE MARIE STETTER | COTA | 1194935890 |
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.