Individual
BLAKE FRIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566-1300
(712) 623-7000
Mailing address
608 E CORNING ST, RED OAK, IA 51566-1903
(712) 370-1775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
127510
IA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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