Blake Haverton Lord
ActiveCalifornia license 18662
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 18662
- Status
- Active (Current)
- First issued
- April 19, 2018
- Expires
- June 30, 2027
- License holder
- Blake Haverton Lord
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
215 14th St Apt 14
Huntington Beach, CA 92648-4451
Huntington Beach, CA 92648-4451
Orange County