Individual
KERRI LYN BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 ALABAMA AVE, LEAGUE CITY, TX 77573-2615
(281) 332-9588
Mailing address
2110 PLEASANT PALM CIR, LEAGUE CITY, TX 77573-6670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207973
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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