Individual
MRS. SHANNON G BLANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2611 CHEYENNE DR, BOWLING GREEN, KY 42104-4205
(270) 978-1297
Mailing address
2611 CHEYENNE DR, BOWLING GREEN, KY 42104-4205
(270) 978-1297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2942
KY
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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