Individual provider · Type 1 NPI

Derricker Blake

Occupational Therapy Assistant · Brooklyn, NY

NPI number 1992223796 Active

Practice location

3769 Nostrand Ave
Brooklyn, NY 11235-2041

Call (718) 769-9888 Map

Mailing address

14 Grant St
Tuckahoe, NY 10707-4152

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X0087221 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1992223796

Derricker Blake's National Provider Identifier is 1992223796, issued on Sep 1, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 1, 2017.