Individual
CHRISTINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(866) 417-8669
Mailing address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(860) 816-0595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12152
NC
225X00000X
Occupational Therapist
Primary
6TR00961500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2018
Last updated
05/04/2026
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