Individual
BROOKE BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
769 CHERAW RD, HAMLET, NC 28345-7158
(910) 582-0021
Mailing address
29317 NELSON MOUNTAIN RD, ALBEMARLE, NC 28001-7520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8756
NC
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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