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

JALISSA NICOLE BLACK, OTD, OTR

Active

JALISSA NICOLE BLACK, OTD, OTR is a Occupational Therapist healthcare provider located in VALDOSTA, Georgia. NPI 1770346785 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · VALDOSTA, GA

Registration Details

NPI Number: 1770346785
Provider Type: Individual
Gender: Female
NPI Issued: Feb 1, 2024 (2.533916300994 yrs)
Last Updated: Feb 1, 2024
License: OT009030 (GA)

Practice Information

Address: 3256 N VALDOSTA RD

VALDOSTA, GA, 316021778
Browse GA providers · Browse ZIP 31602
Phone: 2295606944
Fax: 8884500379
Primary Specialty: Occupational Therapist
225X00000X

Other Occupational Therapist Providers in VALDOSTA, GA

Name	Credential	NPI
MRS. KRISTY MICHELE SHAW	OT	1215990510
ADRIENNE WOSKE	OT	1699715987
MRS. DEBORAH MCNAIR MCTURK	OTRL	1134232937
MR. FRANK LARRY GEORGE	OTR/L	1740369495
MR. CHRIS JAMES SANDOVAL	OTR/L	1316026073
MRS. EMILY SANDOVAL	OTR/L	1003995762

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.