Blake, Heather Michelle

Blake, Heather Michelle is an sole proprietor health care provider with primary practice located at 1311 Augusta Rd , West Columbia SC 29169-6320. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Blake, Heather Michelle can be contacted via phone (803) 926-7204.

Contact Information

Primary practice address
1311 Augusta Rd West Columbia SC 29169-6320
Phone: (803) 926-7204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4217 South Carolina

Profile Details

NPI number 1174883045
LBN Legal business name Blake, Heather Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Nov 19th, 2018 - about 6 years ago

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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