Individual
MR. BLAKE A DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1212 S NAPER BLVD STE 104, NAPERVILLE, IL 60540-8398
(630) 369-2340
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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