Individual
MRS. ANDREA LEE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(141) 074-9146
Mailing address
117 BETHANY ROAD, PO BOX 39, SELBYVILLE, DE 19975
(130) 243-6248
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00637
MD
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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