Individual
JULIE BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1202 CRESTVIEW DR, NORTH AUGUSTA, SC 29841-3325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002979
GA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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