Individual ProviderOrville Livingstone BlakeOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300(210) 373-5942PECOS EnrollmentBased on the most recent information from CMS, provider Orville Livingstone Blake does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003232240Provider TypeIndividualFull NameBlake, Orville LivingstoneCredentialOTR/L, MOTGenderMaleSole ProprietorYesEnumeration Date3/12/2014Last Updated3/13/2014Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300FaxUnlisted FaxMailing LocationMailing Address10731 Alyssum Fld, Helotes, TX 78023-3621Phone(210) 373-5942FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense115900TexasCode225XN1300XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense115900Texas