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KIMBERLY BLACK, COTA

Active

KIMBERLY BLACK, COTA is a Occupational Therapy Assistant healthcare provider located in FORT OGLETHORPE, Georgia. NPI 1326415043 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT OGLETHORPE, GA

Registration Details

NPI Number
1326415043
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2015 (10.923291307483 yrs)
Last Updated
Aug 28, 2015
Licenses
OTA001922 (GA)
2530 (TN)

Practice Information

Address
2403 BATTLEFIELD PKWY
FORT OGLETHORPE, GA, 307424033
Browse GA providers · Browse ZIP 30742
Phone
7068667700
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT OGLETHORPE, GA

Name Credential NPI
MRS. REGINA MICHELLE DURHAM COTA/L 1326143918
HEATHER NICOLE SALVADOR COTA 1457703381
AMY ROACH COTA 1154861508
MRS. JESSICA HALL COTA 1174057590
APRIL WASH COTA 1275061723
ANGELA MCNABB COTA 1134657307
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.