NPI 1588497259
Laiken Blackwell
Practice location
- Address
- 1032 Boll Weevil Cir STE E-G, Enterprise, AL 36330-1381
- Phone
- (334) 677-6360
- Fax
- (334) 475-2021
- Mailing address
- 118 Adris Pl, Dothan, AL 36303-1997
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1588497259
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2024
- Record last updated
- 20 Aug 2024
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.