Individual
MRS. LACEY BREE LASHLEY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
611 S COUNTRY CLUB RD, MUSKOGEE, OK 74403-6222
(918) 686-8100
Mailing address
805 N ANTHONY ST, MUSKOGEE, OK 74403-3908
(918) 869-1191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2066
OK
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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