Individual
PATRICIA BLAUVELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 BRYANT WILLIAMS DR,, KLAMATH FALLS, OR 97601
(260) 416-6828
Mailing address
15418 STAGECOACH RD, KLAMATH FALLS, OR 97601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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