LISA BLAKE

BUFFALO, MO
NPI1720813835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2004016764)
Enumeration Date2024-09-06
Last Update Date2024-09-06
Business Address
LISA BLAKE
1323 S ASH ST
BUFFALO, MO 65622-9311
Phone number: 417-345-2222
Mailing Address
LISA BLAKE
65 WEEKS DR
BUFFALO, MO 65622-4116
Phone number: 417-619-4640
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