Individual provider · Type 1 NPI

Catherine Blake

Pediatric Physical Therapist · Riverside, CA

NPI number 1629466024 Active

Practice location

6180 Brockton Ave Ste 102
Riverside, CA 92506-2259

Mailing address

19104 Mariposa Ave
Riverside, CA 92508-9626

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X10362 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1629466024

Catherine Blake's National Provider Identifier is 1629466024, issued on Jan 7, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Riverside, CA. The record was last updated on Jan 7, 2015.