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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KARLA ANNETTE BLAKE, DT

Active Sole Proprietor

KARLA ANNETTE BLAKE, DT is a Developmental Therapist healthcare provider located in HERRIN, Illinois. NPI 1558484287 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · HERRIN, IL

Registration Details

NPI Number
1558484287
Provider Type
Individual
Gender
Female
NPI Issued
Apr 9, 2007 (19.313205854976 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
858 STARLIGHT CT
HERRIN, IL, 629482445
Browse IL providers · Browse ZIP 62948
Phone
6189425096
Fax
6189874163
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in HERRIN, IL

Name Credential NPI
KRISTA TECKENBROCK 1184013955
LINDSAY BASKIN 1346611506
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.