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

MICHELLE M THEIS-BLACK, PTA

Active

MICHELLE M THEIS-BLACK, PTA is a Occupational Therapist healthcare provider located in SANTA MONICA, California. NPI 1679064927 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SANTA MONICA, CA

Registration Details

NPI Number
1679064927
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2018 (8.2622005761997 yrs)
Last Updated
May 22, 2018
License
49327 (CA)

Practice Information

Address
2730 WILSHIRE BLVD STE 533
SANTA MONICA, CA, 904034751
Browse CA providers · Browse ZIP 90403
Phone
3108280101
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SANTA MONICA, CA

Name Credential NPI
MR. MICHALE BANDOY MOLINYAWE 1184743379
BRIAN EDWARD PONSNESS P.T.A 1821388679
CASSANDRA WHITE 1649697590
EVAN PIERCE LEITH P.T 1558713271
ZACHARY HUTCHENS 1851826424
AMY SHELTON-WHITE PTA 1053811109
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.