SearchCalifornia225X00000X

Blake Lord, OTR/L

NPI 1437873908 · on the registry since 2022 · sole proprietor

Practice

Address
215 14th St Apt 14
Huntington Beach, CA 92648
Phone
(970) 485-1779
Organisation at this address
Good Life Therapy Services Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California