Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DAVID BLACK, OTR/L
ActiveMICHAEL DAVID BLACK, OTR/L is a Occupational Therapist healthcare provider located in BOISE, Idaho. NPI 1104488816 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BOISE, ID
Registration Details
- NPI Number
- 1104488816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2019 (7.0764138862365 yrs)
- Last Updated
- Jul 2, 2019
- License
-
OT-2071 (ID)
Practice Information
- Address
-
600 N ROBBINS RDBOISE, ID, 837024565Browse ID providers · Browse ZIP 83702
- Phone
- 2084894444
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. THERESA MARGARET BRYNTESON | O.T. | 1477510204 |
| THANH-VAN T TRAN | OTR L,CHT | 1730191966 |
| CONNIE KOEPKE SCHROEDER | OTR | 1972605186 |
| MR. JULIE H OROZCO | OTR/L | 1033216510 |
| WENDY JOHNSON | OT | 1730258039 |
| FARRELL S. LINDLEY KESSLER | OT | 1518036839 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.