Individual
BLAKE W. ERBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
135 N HENTON AVE, COVINA, CA 91724-3169
(773) 516-3286
Mailing address
135 N HENTON AVE, COVINA, CA 91724-3169
(773) 516-3286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21055
CA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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