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JUSTIN BLACK

Active

JUSTIN BLACK is a Occupational Therapy Assistant healthcare provider located in VALLIANT, Oklahoma. NPI 1245969138 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · VALLIANT, OK

Registration Details

NPI Number
1245969138
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2022 (4.1863305303357 yrs)
Last Updated
Jun 7, 2022
License
1513 (OK)

Practice Information

Address
508 E WILSON ST
VALLIANT, OK, 747649115
Browse OK providers · Browse ZIP 74764
Phone
5807436553
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in VALLIANT, OK

Name Credential NPI
AMANDA COLSON 1548999709
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.