Orville Livingstone Blake, OTR/L, MOT
Occupational Therapist in San Antonio, TX. Individual provider (NPI-1).
NPI number1003232240
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1003232240
- Entity type
- Individual (NPI-1)
- Name
- Orville Livingstone Blake
- Credential
- OTR/L, MOT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2014
- Last updated
- Mar 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 115900 | TX | Yes |
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 115900 | TX |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
10731 Alyssum FldHelotes, TX 78023-3621
Phone 210-373-5942
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All 618 Occupational Therapist providers in San Antonio · All 48,677 providers in San Antonio
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