LATARA EASTON BLANKENSHIP
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1043809130- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3903 N HARRISON ST, SHAWNEE, OK, 748041426
- Phone
- (405) 585-2971
- Fax
- (405) 585-2983
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: OK #2224