Individual
MRS. ANN MARIE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHSOTR/L
Contact information
Practice address
223 TALL PINES RD, LADSON, SC 29456-3106
(843) 376-3603
Mailing address
223 TALL PINES RD, LADSON, SC 29456-3106
(843) 376-3603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3187
SC
Other
Enumeration date
01/09/2008
Last updated
01/15/2008
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