SearchGeorgia224Z00000X

Leslie Blalock, OTA/L

NPI 1962134064 · on the registry since 2022 · sole proprietor

Practice

Address
130 N Gross Rd Ste 125
Kingsland, GA 31548
Phone
(912) 342-8875
Fax
(912) 342-8016
Organisation at this address
Jimmy Diaz Md Pc
Willis R Keene Md Pc
Frank D Kuitems Md Pc
Camcoast Services Inc
C&S Health Assistance Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia