Individual
BLAIR ELIZABETH HERROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
239 VILLAGE CENTER PKWY STE 190, STOCKBRIDGE, GA 30281-6396
(770) 628-1500
(770) 628-1050
Mailing address
170 LAKEMONT DR, LAGRANGE, GA 30240-7733
(770) 628-1500
(770) 628-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009724
GA
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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