Individual
ERIKA E. BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1701 ELMWOOD AVE, WILMETTE, IL 60091-1555
(847) 920-9406
Mailing address
1701 ELMWOOD AVE, WILMETTE, IL 60091-1555
(847) 920-9406
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056005392
IL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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