Sherry Lee Blake, OTR

NPI #1780881326 in Roseland, Florida

Provider Information

NPI Number: 1780881326
Entity Type: Individual
Name: Sherry Lee Blake, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTR
Enumeration Date: Jun 28, 2007
Last Updated: Nov 30, 2012

Practice Location

Address: 12840 83RD AVE
City: Roseland
State: Florida
ZIP Code: 32957
Phone: (772) 532-0853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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