MR. JEFFERY BLACK, COTA
Occupational Therapy Assistant
Active
Individual
NPI: 1568588531
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | C#1399 (WV) |
Frequently Asked Questions
NPI 1568588531 is the National Provider Identifier for MR. JEFFERY BLACK, COTA, a Occupational Therapy Assistant provider located in Sissonville, WV. This NPI was enumerated on March 22, 2007.
MR. JEFFERY BLACK, COTA practices at 302 CEDAR RIDGE RD, Sissonville, WV 25320.
Quick Facts
- NPI
- 1568588531
- Type
- Individual
- Enumerated
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
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