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Individual

MRS. MICHELLE BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
55 HARRIS RD, NASHUA, NH 03062-2145
(603) 888-1573
Mailing address
16 ALICE DR, NASHUA, NH 03063-2111
(508) 965-9534

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2293
NH

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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