Individual
KARSEN GWEN BLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 WARWOMAN RD, CLAYTON, GA 30525-5142
(706) 782-4276
Mailing address
PO BOX 635, CLAYTON, GA 30525-0016
(706) 982-4064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002206
GA
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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