Greta Blankenship, OTR/L
Individual provider Active NPI Occupational Therapist · Buford, GA
NPI 1578022596 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1578022596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT007333 (GA)
- Practice address
- 4992 Bristol Industrial Way
Buford, GA 30518-1742 - Phone
- (770) 904-6419
- Fax
- (770) 904-6418
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007333 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007333 | GA | Yes |
Addresses
Primary practice location
4992 Bristol Industrial Way
Buford, GA 30518-1742
Mailing address
4992 Bristol Industrial Way
Buford, GA 30518-1742
Phone (770) 904-6419
Other providers in Buford, GA
- Rachel N Bishop
- Jennifer Hauser Bisig
- Maureen Sullivan Bixler
- Jon Lee Blackard
- Abbey Blanchette
- Blue Water Medical, Inc.
- Valeria F Boazman
- Denisa Ramona Boitos
- Michelle Bolden
- William Kyle Boone
All providers in Buford, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.