Blake, Kristina N

Blake, Kristina N is an individual health care provider with primary practice located at 1000 Color Pl Ste 101 , Apopka FL 32703-7717. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Blake, Kristina N can be contacted via phone (352) 394-0212.

Contact Information

Primary practice address
1000 Color Pl Ste 101 Apopka FL 32703-7717
Phone: (352) 394-0212
Fax: (352) 241-6361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT15041 Florida

Profile Details

NPI number 1861764144
LBN Legal business name Blake, Kristina N
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Apr 14th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861764144 NPPES
Florida MEDICAID 00462440

Popular Providers