Individual
GIOVANNINA ELIZABETH BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16455 STATESVILLE RD, HUNTERSVILLE, NC 28078-7135
(704) 801-3719
Mailing address
16455 STATESVILLE RD, HUNTERSVILLE, NC 28078-7135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15928
NC
Other
Enumeration date
08/02/2023
Last updated
04/21/2025
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