Individual provider · Type 1 NPI

Leslie Elizabeth Blalock, OTA/L

Occupational Therapy Assistant · Kingsland, GA

NPI number 1962134064 Active

Practice location

130 N Gross Rd Ste 125
Kingsland, GA 31548-6263

Call (912) 342-8875 Map

Fax (912) 342-8016

Mailing address

4212 Coral Park Dr
Brunswick, GA 31520-3016

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA002877 (GA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1962134064

Leslie Elizabeth Blalock, OTA/L's National Provider Identifier is 1962134064, issued on Jun 28, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Kingsland, GA. The record was last updated on Jun 28, 2022.