Individual
MRS. GLENDA LOIS BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
395 RIGHT FORK HAMILTON RDG, BEATTYVILLE, KY 41311-8724
(606) 464-9132
(606) 464-9133
Mailing address
395 RIGHT FORK HAMILTON RDG, BEATTYVILLE, KY 41311-8724
(606) 464-9132
(606) 464-9133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1200
OCCUPATIONAL THERAPY LICENSE
KY
Enumeration date
03/18/2011
Last updated
03/18/2011
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