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Individual

MISS BLANCA MARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR, MOT

Contact information

Practice address
1717 NORFOLK AVE, LUBBOCK, TX 79416-6099
(806) 281-6232
Mailing address
3509 38TH ST, LUBBOCK, TX 79413-2627
(940) 733-4416

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114906
TX

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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