Individual
SHELIA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
343 LYNWINN ROAD, COAL CITY, WV 25823
(304) 222-2960
Mailing address
PO BOX 303, SOPHIA, WV 25921
(304) 222-2960
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1865
WV
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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