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LISA BLAKE

Active Sole Proprietor

LISA BLAKE is a Occupational Therapy Assistant healthcare provider located in BUFFALO, Missouri. NPI 1720813835 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BUFFALO, MO

Registration Details

NPI Number
1720813835
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2024 (1.9788348350739 yrs)
Last Updated
Sep 6, 2024
License
2004016764 (MO)
Sole Proprietor
Yes

Practice Information

Address
1323 S ASH ST
BUFFALO, MO, 656229311
Browse MO providers · Browse ZIP 65622
Phone
4173452222
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BUFFALO, MO

Name Credential NPI
KATHY J CHANDLER COTA/L 1366733503
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.