Heather Michelle Blake
Occupational Therapist in West Columbia, SC. Individual provider (NPI-1).
NPI number1174883045
StatusActive
Last updated in NPPESNov 19, 2018
Details
- NPI
- 1174883045
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Michelle Blake
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2012
- Last updated
- Nov 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 4217 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1311 Augusta RdWest Columbia, SC 29169-6320
Phone 803-926-7204
Mailing address
105 Congaree Mill LnWest Columbia, SC 29169-5357
Phone 609-731-0994
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All 64 Occupational Therapist providers in West Columbia · All 2,417 providers in West Columbia
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