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Individual

MRS. CHRISTINE ROEBUCK BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L CHT

Contact information

Practice address
570 LONG POINT RD, SUITE 270, MT PLEASANT, SC 29464-7930
(843) 884-4783
(843) 884-1979
Mailing address
570 LONG POINT RD, SUITE 270, MT PLEASANT, SC 29464-7930
(843) 884-4783
(843) 884-1979

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
139
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH0689
SC
Enumeration date
05/03/2006
Last updated
07/15/2013
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