Kelly James Blake, OTR

NPI #1396223129 in Waterford, Michigan

Provider Information

NPI Number: 1396223129
Entity Type: Individual
Name: Kelly James Blake, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 1901 N TELEGRAPH RD
City: Waterford
State: Michigan
ZIP Code: 48328-1878
Phone: (248) 836-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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