Individual
BLAKELY EHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
16782 VON KARMAN AVE, IRVINE, CA 92606-9928
(714) 351-9250
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20119
CA
Other
Enumeration date
08/29/2019
Last updated
10/28/2019
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