Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BLACK, OTR/L
ActiveKELLY BLACK, OTR/L is a Occupational Therapist healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1942550405 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1942550405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2012 (13.918140605351 yrs)
- Last Updated
- Sep 17, 2020
- Licenses
-
056.009759 (IL)11328 (NC)
Practice Information
- Address
-
4101 RAEFORD RDFAYETTEVILLE, NC, 283044114Browse NC providers · Browse ZIP 28304
- Phone
- 9104882120
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. ELIZABETH R BAREFOOT | OT | 1235131970 |
| MRS. LINDA MALVINA HURST | OTR/L | 1831154657 |
| MRS. BRENDA TERESSA MONTALVO | OTR/L | 1952359598 |
| JENNY D HOLLAND | OCCUPATIONAL THERAPI | 1861598286 |
| MISS ADI SHIMONI | OTR/L | 1043305261 |
| MS. STEPHANIE GAIL ALLEN | OTR/L | 1023192051 |
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.