Individual provider · NPI-1

Greta Blankenship, OTR/L

Occupational Therapist · Buford, GA

NPI number1578022596
StatusActive
Last updated in NPPESMar 19, 2019

Details

NPI
1578022596
Entity type
Individual (NPI-1)
Name
Greta Blankenship
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Mar 19, 2019
Last updated
Mar 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT007333GAYes

Practice location

4992 Bristol Industrial Way
Buford, GA 30518-1742

Phone 770-904-6419 · Fax 770-904-6418

Mailing address

4992 Bristol Industrial Way
Buford, GA 30518-1742

Phone 770-904-6419

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