Individual
MRS. CARLA M BLETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5700 24TH ST E, BRADENTON, FL 34203-4940
(941) 896-4858
(941) 896-4859
Mailing address
4811 JOSSELIN PL, PARRISH, FL 34219-7589
(941) 737-1245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10721
FL
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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