Blake, Chanel
Blake, Chanel is an sole proprietor health care provider with primary practice located at 123 East 110Th Street Suite 6D, New York NY 10029. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Blake, Chanel can be contacted via phone (646) 489-2579.Contact Information
Primary practice address
123 East 110Th Street Suite 6D
New York NY 10029
Phone: (646) 489-2579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 011416-01 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | New York | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | New York | |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | New York | |
| Agencies / Early Intervention Provider Agency | 252Y00000X | New York |
Profile Details
| NPI number | 1164201943 |
|---|---|
| LBN Legal business name | Blake, Chanel |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2023 |
| Last updated | Sep 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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