Individual
MRS. KAREN M BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2004 OAK LEAF LN, VIRGINIA BEACH, VA 23455-2526
(757) 460-2309
Mailing address
2004 OAK LEAF LANE, VIRGINIA BEACH, VA 23455
(757) 460-2309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1029953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029953
NBCOT
VA
Enumeration date
03/31/2008
Last updated
03/31/2008
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