KELLY JAMES BLAKE

WATERFORD, MI
NPI1396223129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201004341)
Enumeration Date2018-08-02
Last Update Date2018-08-02
Business Address
KELLY JAMES BLAKE OTR
1901 N TELEGRAPH RD
WATERFORD, MI 48328-1878
Phone number: 248-836-1000
Mailing Address
KELLY JAMES BLAKE OTR
3257 WHITFIELD CT
WATERFORD, MI 48329-2769
Phone number: 248-330-1770
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