National Provider Identifier Database

SHERRY L BLAKE, OTR – NPI #1780881326
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SHERRY L BLAKE, OTR
12840 83RD AVE
ROSELAND, FL32957
Phone: 772-532-0853
Fax: 772-571-6190
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SHERRY L BLAKE

NPI Number 1780881326
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 06/28/2007
Last updated 11/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OT 2648
  • FL Medicaid: 006673400
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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