NPI 1053714907

Lavelle Blackwell

Practitioner Occupational Therapist Washington, DC

Practice location

Address: 4601 Martin Luther King Jr Ave SW, Washington, DC 20032-1131
Phone: (202) 261-6598
Mailing address: 7830 Contee Rd #129, Laurel, MD 20707-9231

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT010000978 (DC)

Other Occupational Therapist providers in District of Columbia →

Registry record

NPI: 1053714907
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2014
Record last updated: 7 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.