Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARESA BLACK, MOT, OTR/L
ActiveMARESA BLACK, MOT, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SANDPOINT, Idaho. NPI 1750758702 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SANDPOINT, ID
Registration Details
- NPI Number
- 1750758702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2015 (10.929431711552 yrs)
- Last Updated
- May 13, 2016
- License
-
OT-1405 (ID)
Practice Information
- Address
-
506 ALDER ST FL 2SANDPOINT, ID, 838641567Browse ID providers · Browse ZIP 83864
- Phone
- 2086278615
- Fax
- 2084412641
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in SANDPOINT, ID
| Name | Credential | NPI |
|---|---|---|
| PENNIE MATHIAS | MS, OTR/L | 1013101484 |
| STACEE DINEEN | — | 1861885030 |
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.