HEATHER MICHELLE BLAKE

WEST COLUMBIA, SC
NPI1174883045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  4217)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-24
Last Update Date2018-11-19
Business Address
Mrs. HEATHER MICHELLE BLAKE
1311 AUGUSTA RD
WEST COLUMBIA, SC 29169-6320
Phone number: 803-926-7204
Mailing Address
Mrs. HEATHER MICHELLE BLAKE
105 CONGAREE MILL LN
WEST COLUMBIA, SC 29169-5357
Phone number: 609-731-0994