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Individual

STEVEN BLAKE JUNIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4835
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224Z00000X
AL
Enumeration date
10/09/2018
Last updated
10/09/2018
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