Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERY TODD BLACK, COTA
ActiveMR. JEFFERY TODD BLACK, COTA is a Occupational Therapy Assistant healthcare provider located in SISSONVILLE, West Virginia. NPI 1568588531 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SISSONVILLE, WV
Registration Details
- NPI Number
- 1568588531
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.217143339215 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C#1399 (WV)
Practice Information
- Address
-
302 CEDAR RIDGE RDSISSONVILLE, WV, 253209502Browse WV providers · Browse ZIP 25320
- Phone
- 3049840046
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SISSONVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA MARIE SMITH | COTA/L | 1477845980 |
| MRS. JEANIE LOU SMITH | COTA | 1265778617 |
| ASHLEY SLATER | — | 1417348707 |
| MEGAN JAMIE WADSWORTH | COTA/L | 1194680439 |
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.