Matthew Stephen Blake, MOTR/L | |
1425 S 1500 E, Clearfield, UT 84015-1613 | |
(385) 215-0393 | |
Not Available |
Full Name | Matthew Stephen Blake |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 1425 S 1500 E, Clearfield, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528897816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Utah) | Primary |
Provider Name | Orthopaedic And Neurological Rehabilitation, Speech Pathology, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200930001509 |
Mailing Address | Practice Location Address |
---|---|
Matthew Stephen Blake, MOTR/L 1015 E Sunburn Ln, Sandy, UT 84094-5613 Ph: (385) 215-0393 | Matthew Stephen Blake, MOTR/L 1425 S 1500 E, Clearfield, UT 84015-1613 Ph: (385) 215-0393 |
Siena Podgorny, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1795 Chelemes Way, Clearfield, UT 84015 Phone: 801-614-5700 | |
Spencer Shaw, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1425 S 1500 E, Clearfield, UT 84015 Phone: 801-614-2618 | |
Analena Holihan, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1425 S 1500 E, Clearfield, UT 84015 Phone: 385-393-0680 | |
Alicia Johnson Miller, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1425 S 1500 E, Clearfield, UT 84015 Phone: 385-393-0680 | |
Jakie Toner, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1795 Chelemes Way, Clearfield, UT 84015 Phone: 801-614-5700 Fax: 801-614-5750 | |
Hannah Elizabeth Sekerak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1425 S 1500 E, Clearfield, UT 84015 Phone: 166-780-1896 |