Individual
AMBER NICOLE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 POND APPLE RD, CLARKSVILLE, TN 37043-2208
(931) 920-4333
Mailing address
3871 MCDAGIN CIR UNIT B, FORT CAMPBELL, KY 42223-3820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8526
TN
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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