Orville Livingstone Blake, OTR/L, MOT

NPI #1003232240 in San Antonio, Texas

Provider Information

NPI Number: 1003232240
Entity Type: Individual
Name: Orville Livingstone Blake, OTR/L, MOT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L, MOT
Enumeration Date: Mar 12, 2014
Last Updated: Mar 13, 2014

Practice Location

Address: 7400 MERTON MINTER ST
City: San Antonio
State: Texas
ZIP Code: 78229-4404
Phone: (210) 617-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Neurorehabilitation — Neurorehabilitation	225XN1300X

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