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Individual

BLAKE LEMMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
12850 SADDLE CLUB CIR APT 201, TAMPA, FL 33635-9700
(765) 993-3642
Mailing address
1980 SUNSET POINT RD, CLEARWATER, FL 33765-1132

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32002227A
IN
224Z00000X
Occupational Therapy Assistant
Primary
OTA15112
FL

Other

Enumeration date
10/15/2015
Last updated
05/31/2017
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