Carey Blackmon, | |
800 West Maple Street, Medical Lake, WA 99022-0800 | |
(509) 299-3121 | |
(509) 299-7015 |
Full Name | Carey Blackmon |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 800 West Maple Street, Medical Lake, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528144524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT00004150 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carey Blackmon, 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121 | Carey Blackmon, 800 West Maple Street, Medical Lake, WA 99022-0800 Ph: (509) 299-3121 |
Connie Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Terry Glenn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Miranda J Gordon, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Mary Kay Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 |