Individual
MRS. BLOSSOM ELEITHIA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHURCH ST N, SUITE 70, CONCORD, NC 28025-4379
(704) 918-1343
(704) 461-4334
Mailing address
4156 BROWNWOOD LN NW, CONCORD, NC 28027-4501
(516) 662-6709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5659
NC
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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