CHANEL BLAKE

NEW YORK, NY
NPI1164201943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: NY  011416-01)
225100000X Physical Therapist
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist,
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
CHANEL BLAKE COTA
123 EAST 110TH STREET SUITE 6D
NEW YORK, NY 10029
Phone number: 646-489-2579
Mailing Address
CHANEL BLAKE COTA
123 EAST 110TH STREET SUITE 6D
NEW YORK, NY 10029
Phone number: 646-489-2579