Courtney Blake

NPI #1942675152 in Centerville, South Dakota

Provider Information

NPI Number: 1942675152
Entity Type: Individual
Name: Courtney Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 14, 2015
Last Updated: Dec 14, 2015

Practice Location

Address: 500 VERMILLION ST
City: Centerville
State: South Dakota
ZIP Code: 57014-2168
Phone: (605) 212-3446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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