BLAKE EDWARD LANE BERKENBILE

FLOWER MOUND, TX
NPI1962372045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy226000000X Recreational Therapist Assistant
Enumeration Date2025-11-05
Last Update Date2025-11-05
Business Address
BLAKE EDWARD LANE BERKENBILE
4961 LONG PRAIRIE RD STE 110
FLOWER MOUND, TX 75028-2794
Phone number: 800-975-3859
Mailing Address
BLAKE EDWARD LANE BERKENBILE
4321 BARNSLEY DR
PLANO, TX 75093-3244
Phone number: