KARLA BLAKE, DT

Developmental Therapist

Active Individual
NPI: 1558484287

Practice Address

858 STARLIGHT CT
Herrin, IL 62948

Phone: (618) 942-5096

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1558484287 is the National Provider Identifier for KARLA BLAKE, DT, a Developmental Therapist provider located in Herrin, IL. This NPI was enumerated on April 9, 2007.
KARLA BLAKE, DT practices at 858 STARLIGHT CT, Herrin, IL 62948.

Quick Facts

NPI
1558484287
Type
Individual
Enumerated
Apr 9, 2007
Last Updated
Jul 8, 2007

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