NPI 1003351438
Ron Blake
Practice location
- Address
- 4607 Manchaca Rd, Austin, TX 78745-1607
- Phone
- (512) 916-1511
- Fax
- (512) 916-1532
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003351438
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Dec 2016
- Record last updated
- 20 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.