| NPI | 1891235115 |
|---|---|
| Former Name | CHELSEY BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 084235) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-011656) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-10-12 |