Individual
MRS. KATHLEEN BLAKE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11386 SW HENDRIX DR, DUNNELLON, FL 34432-5859
(205) 243-3047
Mailing address
11386 SW HENDRIX DR, DUNNELLON, FL 34432-5859
(205) 243-3047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18787
FL
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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