Individual
MRS. MORGAN BLAIR DZUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
210 SPRING ST APT I1, BLOUNTVILLE, TN 37617-5451
(276) 494-5154
Mailing address
210 SPRING ST APT I1, BLOUNTVILLE, TN 37617-5451
(276) 494-5154
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001924
VA
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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