BLAKE HAVERTON LORD

HUNTINGTON BEACH, CA
NPI1437873908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  18662)
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
BLAKE HAVERTON LORD OTR/L
215 14TH ST APT 14
HUNTINGTON BEACH, CA 92648-4451
Phone number: 970-485-1779
Mailing Address
BLAKE HAVERTON LORD OTR/L
215 14TH ST APT 14
HUNTINGTON BEACH, CA 92648-4451
Phone number:
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