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Sherry Lee Blake, OTR
Specialist in Roseland, Florida
NPI 1780881326

Sherry Lee Blake is a Specialist based in Roseland, FL. Sherry Lee Blake practices in Roseland, FL and has the professional credentials of OTR. The NPI Number for Sherry Lee Blake is 1780881326 and holds a License No. OT 2648 (Florida).

The current practice location address for Sherry Lee Blake is 12840 83Rd Ave, Roseland, FL and can be reached out via phone at 772-532-0853 and via fax at 772-571-6190.

Location: 12840 83Rd Ave, Roseland, FL, 32957-1175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780881326
Provider Name
Sherry Lee Blake
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
12840 83Rd Ave, Roseland, FL, 32957-1175
Phone Number
772-532-0853
Fax Number
772-571-6190
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006673400 05 FL
institution
Provider Business Practice Location Address Details
Address
12840 83Rd Ave
City
Roseland
State
Florida
Zip
32957
Phone Number
772-532-0853
Fax Number
772-571-6190
person
Provider Business Mailing Address Details
Address
12840 83Rd Ave
City
Roseland
State
Florida
Zip
32957
Phone Number
772-532-0853
Fax Number
772-571-6190
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT 2648 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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