Individual
MRS. SHIRLEY ELIZABETH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1745 SW RAILROAD AVE STE 302, HAMMOND, LA 70403-6150
(985) 310-2160
Mailing address
1745 SW RAILROAD AVE STE 302, HAMMOND, LA 70403-6150
(985) 310-2160
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.200721
LA
Other
Enumeration date
06/17/2014
Last updated
04/29/2022
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