Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TERESA LYN BLACK
Active Sole ProprietorMRS. TERESA LYN BLACK is a Occupational Therapy Assistant healthcare provider located in MUSCODA, Wisconsin. NPI 1417265059 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MUSCODA, WI
Registration Details
- NPI Number
- 1417265059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2010 (15.912954954239 yrs)
- Last Updated
- Sep 16, 2010
- License
-
66-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 NORTH SIXTH STREETRIVERDALE ELEMENTARY SCHOOLMUSCODA, WI, 53573Browse WI providers · Browse ZIP 53573
- Phone
- 6087393101
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MUSCODA, WI
| Name | Credential | NPI |
|---|---|---|
| REBECCA TRACY | COTA | 1780470526 |
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.