Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAKOTA STORM BLAKE, PTA
ActiveDAKOTA STORM BLAKE, PTA is a Occupational Therapist healthcare provider located in FORT EDWARD, New York. NPI 1417594748 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT EDWARD, NY
Registration Details
- NPI Number
- 1417594748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2019 (6.6560602591565 yrs)
- Last Updated
- Dec 5, 2019
- License
-
012276-01 (NY)
Practice Information
- Address
-
319 BROADWAYFORT EDWARD, NY, 128281221Browse NY providers · Browse ZIP 12828
- Phone
- 5187460700
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FORT EDWARD, NY
| Name | Credential | NPI |
|---|---|---|
| KYLE STREETER | — | 1790347086 |
| TARYN E ASHE | PTA | 1972195261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.