Individual
BLYTHE FLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2801 OLD GREENWOOD RD STE 14, FORT SMITH, AR 72903-4560
(479) 719-5736
(479) 430-7479
Mailing address
4300 ROGERS AVE STE 20, FORT SMITH, AR 72903-3152
(479) 719-5736
(479) 430-7479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1398
AR
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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