Jamie Blake
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Jamie Blake
NPI Number
1063915627
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/09/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201009210
Contact
Information
Purpose
Mailing
Location
Address
3539 TUSCANY DR SE
100 MICHIGAN ST NE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49546-7247
49503-2560
Country
US
US
Telephone Number
N/A
(616) 391-1774
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/09/2018