Jeffery Todd Black in Sissonville - Occupational Therapy Assistant
Jeffery Todd Black - NPI 1568588531
Jeffery Todd Black is a Occupational Therapy Assistant in Sissonville, . Jeffery Todd Black practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jeffery Todd Black is 1568588531. The last update date is 2007-07-08.
Jeffery Todd Black's current location address is 302 Cedar Ridge Rd, Sissonville, . You can contact this provider via phone number 3049840046. The mailing address for Jeffery Todd Black is 302 Cedar Ridge Rd, Sissonville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Todd Black |
|---|---|
| Address | 302 Cedar Ridge Rd, Sissonville, |
| Phone Number | 3049840046 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1568588531 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 302 Cedar Ridge Rd |
|---|---|
| City | Sissonville |
| State | (WV) |
| Post Code | 253209502 |
| Phone Number | 3049840046 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | C#1399 |
|
Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
|
Post Comment/ Review Below
What is the unique identification code assigned to Jeffery Todd Black by the Centers for Medicare & Medicaid Services?
The Jeffery Todd Black has been issued the NPI (National Provider Identifier) 1568588531. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffery Todd Black is physically located?
The Jeffery Todd Black is situated at the following address: 302 Cedar Ridge Rd, Sissonville, WV 253209502.
What is the Jeffery Todd Black's specialty and taxonomy code?
The Jeffery Todd Black's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568588531 to Jeffery Todd Black?
The Centers for Medicare & Medicaid Services originally issued the 1568588531 to Jeffery Todd Black on 2007-03-22.
As of what date were the details pertaining to Jeffery Todd Black last refreshed?
The information related to the Jeffery Todd Black, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA
NPI Number: 1477556215
Address: 25 Hospital Center Blvd Ste 306, Hilton Head Island, SC