Individual
ALFREDA FURSTENBERG BLANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 WESTERN BLVD # 27886, TARBORO, NC 27886-4017
(252) 823-0401
Mailing address
1000 WESTERN BLVD # 27886, TARBORO, NC 27886-4017
(252) 823-0401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4574
NC
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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