Ron Blake

NPI #1003351438 in Austin, Texas

Provider Information

NPI Number
1003351438
Entity Type
Individual
Name
Ron Blake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Dec 20, 2016
Last Updated
Dec 20, 2016

Practice Location

Address
4607 MANCHACA RD
City
Austin
State
Texas
ZIP Code
78745-1607
Phone
(512) 916-1511

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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