Individual
MR. DARRICK SHANE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
785 US HWY 321 N, STE 20, LENOIR CITY, TN 37771
(865) 986-6611
(865) 988-6904
Mailing address
PO BOX 6167, MARYVILLE, TN 37802-6167
(865) 977-8007
(865) 977-4072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003043
TN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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