Individual
LORI E B BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2216
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433349399
MAINE CARE PROVIDER NUMBER
ME
01
—
OT 2216
STATE LICENSE NUMBER
ME
Enumeration date
04/16/2009
Last updated
12/29/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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