Lord, Blake Haverton

Lord, Blake Haverton is an sole proprietor health care provider with primary practice located at 215 14Th St Apt 14 , Huntington Beach CA 92648-4451. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Lord, Blake Haverton can be contacted via phone (970) 485-1779.

Contact Information

Primary practice address
215 14Th St Apt 14 Huntington Beach CA 92648-4451
Phone: (970) 485-1779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 18662 California

Profile Details

NPI number 1437873908
LBN Legal business name Lord, Blake Haverton
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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