Mr. Blake Wallace
Mr. Blake Wallace is an Occupational Therapy Assistant in Germantown, Tennessee. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2020
Practice location Address checks out
7820 Walking Horse CirGermantown, TN 38138-2143
Phone: (901) 752-2500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence TA3704 (MS) |
|---|
Record details
| NPI number | 1821617663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2020 |
| Last updated in NPPES | April 12, 2020 |
| Certification date | April 12, 2020 |
| Mailing address | 150 Evansville Rd, Coldwater, MS 38618-6778 |
Other providers in Germantown
-
Jordyn Potter
3180 Professional Plz Ste 101, Germantown, TN 38138-1534 · (901) 328-2110
-
Sharnika Thomas
7820 Walking Horse Cir, Germantown, TN 38138-2143 · (901) 848-8941
-
Mrs. Cindy Rae Vincent, COTA
2557 Overlook Dr, Germantown, TN 38138-6111 · (901) 573-2911
-
Mr. David Meron Wade, COTA
2016 Exeter Rd, Germantown, TN 38138-3934 · (901) 337-7524