Individual
KRISTINA N BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 COLOR PL STE 101, APOPKA, FL 32703-7717
(352) 394-0212
(352) 241-6361
Mailing address
1000 COLOR PL STE 101, APOPKA, FL 32703-7717
(352) 394-0212
(352) 241-6361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462440
—
FL
Enumeration date
02/02/2012
Last updated
04/14/2022
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