Individual
MS. LYNN SOBRAY BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108
Mailing address
PO BOX 153735, LUFKIN, TX 75915-3735
(713) 614-6673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102133
TX
Other
Enumeration date
10/20/2006
Last updated
11/01/2011
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