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1992384911
AMANDA BLAKE
HOOVER, AL
NPI
1992384911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 4184)
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
AMANDA BLAKE
3421 S SHADES CREST RD STE 107
HOOVER, AL 35244-3551
Phone number: 205-987-6501
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Mailing Address
AMANDA BLAKE
2823 GREYSTONE COMMERCIAL BLVD
HOOVER, AL 35242-2660
Phone number: 205-745-3660
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