Individual provider · Type 1 NPI
Karla Annette Blake, DT
Developmental Therapist · Herrin, IL
Practice location
858 Starlight Ct
Herrin, IL 62948-2445
Fax (618) 987-4163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1558484287
Karla Annette Blake, DT's National Provider Identifier is 1558484287, issued on Apr 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Herrin, IL. The record was last updated on Jul 8, 2007.