Individual
MRS. LASHAY ANN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
2306 WALDEN GLEN CIR, CINCINNATI, OH 45231-1402
(513) 674-1688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05258
OH
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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