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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHADD DAVID BLACK, LPTA

Active

CHADD DAVID BLACK, LPTA is a Occupational Therapist healthcare provider located in VERONA, Wisconsin. NPI 1326680109 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · VERONA, WI

Registration Details

NPI Number
1326680109
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2019 (6.7973733362233 yrs)
Last Updated
Oct 13, 2019
License
520-19 (WI)

Practice Information

Address
1049 N EDGE TRL
VERONA, WI, 535931942
Browse WI providers · Browse ZIP 53593
Phone
6088452100
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in VERONA, WI

Name Credential NPI
MR. KEVIN JOSEPH ZACHARIAS LPTA 1679641559
MRS. LINDA JANE REWEY PTA 1649335712
MEGAN ELIZABETH STATZ PTA 1215104872
JONNA L BIER P.T.A. 1851748115
ALEX NEAL PTA 1992205272
AMBER HARTMAN PTA 1164176178
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.