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Individual

HALEY A BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2344 ELKHORN RD, LEXINGTON, KY 40509-2784
(859) 788-2369
Mailing address
2213 LAKESIDE DR, LEXINGTON, KY 40502-3020
(859) 321-6911

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
280468
KY

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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