Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie Elizabeth Blalock, OTA/L

Individual provider Occupational Therapy Assistant · NPI 1962134064

Leslie Elizabeth Blalock, OTA/L is an Occupational Therapy Assistant in Kingsland, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

130 N Gross Rd Ste 125
Kingsland, GA 31548-6263
Phone: (912) 342-8875
Fax: (912) 342-8016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA002877 (GA)

Record details

NPI number1962134064
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA/L
Sole proprietorYes
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

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