| 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 |