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ALLISON BLACKSTOCK

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1356899280

Individual Registrant:
 ALLISON  BLACKSTOCK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
626 N TYNDALL PKWY  CALLAWAY, FL 32404-6132 US
Tel: 850-871-6363  Fax: --

Contact information for business:
626 N TYNDALL PKWY  CALLAWAY, FL 32404-6132 US
Tel: --  Fax: --

Registration Information:
NPI: 1356899280
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
FLOTA14008

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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