| Blake Haverton Lord, OTR/L | |
|
215 14th St Apt 14, Huntington Beach, CA 92648-4451 | |
| (970) 485-1779 | |
| Not Available |
| Full Name | Blake Haverton Lord |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 215 14th St Apt 14, Huntington Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437873908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 18662 (California) | Primary |
| Provider Name | Orange County Occupational Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750044053 PECOS PAC ID: 0547650020 Enrollment ID: O20211125000005 |
| Provider Name | Good Life Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891411682 PECOS PAC ID: 0244608545 Enrollment ID: O20221117000969 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Haverton Lord, OTR/L 215 14th St Apt 14, Huntington Beach, CA 92648-4451 Ph: () - | Blake Haverton Lord, OTR/L 215 14th St Apt 14, Huntington Beach, CA 92648-4451 Ph: (970) 485-1779 |
Negin Zare, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 18821 Delaware St Ste 106, Huntington Beach, CA 92648 Phone: 714-963-3322 | |
Jessica Cornette, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5312 Bolsa Ave Ste 105, Huntington Beach, CA 92649 Phone: 818-241-6780 | |
Lynn Genden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18700 Beach Blvd, 120, Huntington Beach, CA 92648 Phone: 714-962-6760 Fax: 714-962-5961 | |
Elaine Nguyen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7921 Professional Cir, Huntington Beach, CA 92648 Phone: 714-847-8751 Fax: 714-847-8913 | |
Mrs. Luanne S Bjorkman, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Cape Cottage Ln, Huntington Beach, CA 92646 Phone: 714-969-0675 | |
Brittany Glass, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18700 Beach Blvd Ste 120, Huntington Beach, CA 92648 Phone: 714-962-6760 | |
Enjoli Page Filemu, OTD, OTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16761 Viewpoint Ln Apt 3, Huntington Beach, CA 92647 Phone: 626-755-4412 |