NPI 1235728866
Avery Lauren Blackburn, COTAL
Practice location
- Address
- 1620 Midtown Pl, Midwest City, OK 73130-6347
- Phone
- (580) 641-2681
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1235728866
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jan 2021
- Record last updated
- 18 Jan 2021
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.