Most Relevant Information
Provider Data
| NPI Number: | 1003232240 |
| Provider Name: | ORVILLE LIVINGSTONE BLAKE OTR/L, MOT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 115900 |
Most Important Dates
| Enumeration Date: | 03/12/2014 |
| Last Updated: | 03/13/2014 |
Provider Practice Location
7400 MERTON MINTER ST
SAN ANTONIO
TX
782294404
Practice Location Phone/Fax
| Phone: | 2106175300 |
| Fax: |
Provider Mailing Location
10731 ALYSSUM FLD
HELOTES
TX
780233621
Provider Mailing Phone/Fax
| Phone: | 2103735942 |
| Fax: |