Individual provider · Type 1 NPI

Kelly James Blake, OTR

Occupational Therapist · Waterford, MI

NPI number 1396223129 Active

Practice location

1901 N Telegraph Rd
Waterford, MI 48328-1878

Mailing address

3257 Whitfield Ct
Waterford, MI 48329-2769

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201004341 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1396223129

Kelly James Blake, OTR's National Provider Identifier is 1396223129, issued on Aug 2, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Waterford, MI. The record was last updated on Aug 2, 2018.