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Matthew Clark Blake, COTA/L

Occupational Therapy Assistant in Akron, OH. Individual provider (NPI-1).

NPI number1720344005
StatusActive
Last updated in NPPESApr 11, 2012

Details

NPI
1720344005
Entity type
Individual (NPI-1)
Name
Matthew Clark Blake
Credential
COTA/L
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2012
Last updated
Apr 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant––Yes

Practice location

200 Wyant Rd
Akron, OH 44313

Phone 330-926-7221

Mailing address

200 Wyant Rd
Akron, OH 44313-4228

Phone 330-926-7221

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