Derricker Blake
Derricker Blake is an Occupational Therapy Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
3769 Nostrand AveBrooklyn, NY 11235-2041
Phone: (718) 769-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 0087221 (NY) |
|---|
Record details
| NPI number | 1992223796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2017 |
| Last updated in NPPES | September 1, 2017 |
| Mailing address | 14 Grant St, Tuckahoe, NY 10707-4152 |
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