Individual
MISS SARAH L BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 301-0002
Mailing address
1342 N EL PASO ST, COLORADO SPRINGS, CO 80903-2524
(719) 412-9515
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0008289
CO
Other
Enumeration date
09/10/2017
Last updated
01/15/2024
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