Individual
ALLISON BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
319 LOVLEY DR, WATERTOWN, CT 06795-3162
(203) 560-7558
Mailing address
319 LOVLEY DR, WATERTOWN, CT 06795-3162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004697
CT
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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