Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kameelah Corum Blackwell, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1760971154

Kameelah Corum Blackwell, COTA/L is an Occupational Therapy Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

6000 Park South Dr
Charlotte, NC 28210-3298
Phone: (704) 643-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 7578 (NC)

Record details

NPI number1760971154
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESMay 1, 2018

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