Individual
MRS. ANGIE SUE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
37 BETH DR, MONTICELLO, KY 42633-3807
(606) 348-0422
Mailing address
37 BETH DR, MONTICELLO, KY 42633-3807
(606) 348-0422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1007
KY
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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