Blake, Pamela L
Blake, Pamela L is an sole proprietor health care provider with primary practice located at 3355 Medina Rd , Medina OH 44256-9631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blake, Pamela L can be contacted via phone (440) 567-5220.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 002088 | Ohio |
Profile Details
| NPI number | 1457058760 |
|---|---|
| LBN Legal business name | Blake, Pamela L |
| Credentials | OTD, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2023 |
| Last updated | Feb 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457058760 | NPPES |
| Ohio | Other | OT002088 | OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND ATHLETIC TRAINERS BOARD |
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