Most Relevant Information
Provider Data
| NPI Number: | 1003245507 |
| Provider Name: | ALICIA BLONDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201008159 |
Most Important Dates
| Enumeration Date: | 11/05/2013 |
| Last Updated: | 11/05/2013 |
Provider Practice Location
2100 E PROVINCIAL HOUSE DR
LANSING
MI
489104884
Practice Location Phone/Fax
| Phone: | 5172724029 |
| Fax: |
Provider Mailing Location
2100 E PROVINCIAL HOUSE DR
LANSING
MI
489104884
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |