MRS. Jasmine Dare Blake, OTR/L

NPI #1366942245 in Elizabethton, Tennessee

Provider Information

NPI Number
1366942245
Entity Type
Individual
Name
MRS. Jasmine Dare Blake, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Feb 16, 2018
Last Updated
Feb 16, 2018

Practice Location

Address
1975 W ELK AVE STE 1
ZIP Code
37643-3787
Phone
(423) 543-0073

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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