Individual
BLAKE EDWARD FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 SOUTHER BOULEVARD, KETTERING, OH 45419
(937) 298-4331
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(513) 465-4217
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
008790
OH
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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