Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT0001647 | FL |
NPI | 1114914454 |
---|---|
Provider Name | Elizabeth Blake Curtis |
First Address | Orange Park, FL 32073-4537 |
Second Address | Orange Park, FL 32073-4537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 20/02/2009 |