Individual
MS. DAWN K BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
244 PAPA PL, SUITE 102, KAHULUI, HI 96732-2988
(808) 873-7700
(808) 873-7100
Mailing address
PO BOX 1379, PUUNENE, HI 96784-1379
(808) 873-7700
(808) 873-7100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
222
HI
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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