HEATHER MICHELLE BLAKE

THE SIGURD CENTER FOR ORTHO AND NEURO REHAB

Dr HEATHER MICHELLE BLAKE is a female medical professional, specializing in Occupational Therapy. She graduated in 2013.

Contact

THE SIGURD CENTER FOR ORTHO AND NEURO REHAB

1311 AUGUSTA RD
WEST COLUMBIA
SC
291696320

Tel: 8039267204

HEATHER MICHELLE BLAKE Information

Npi 1174883045
Pac Id 6608110903
Professional Enrollment Id I20181127001738
Last Name BLAKE
First Name HEATHER
Middle Name MICHELLE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE SIGURD CENTER FOR ORTHO AND NEURO REHAB
Group Practice Pac Id 0547277063
Number Of Group Practice Members 9
Line 1 Street Address 1311 AUGUSTA RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WEST COLUMBIA
State SC
Zip Code 291696320
Phone Number 8039267204
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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