Rodney B Black in Fairburn - Occupational Therapist
Rodney B Black - NPI 1285799312
Rodney B Black is a Occupational Therapist in Fairburn, Georgia. Rodney B Black practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Rodney B Black is 1285799312. The last update date is 2007-07-08.
Rodney B Black's current location address is 100 Azalea Dr, Fairburn, Georgia. You can contact this provider via phone number 4042480415 and fax number 4042480422. The mailing address for Rodney B Black is 100 Azalea Dr, Fairburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney B Black |
|---|---|
| Address | 100 Azalea Dr, Fairburn, Georgia |
| Phone Number | 4042480415 |
| Fax Number | 4042480422 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1285799312 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Azalea Dr |
|---|---|
| City | Fairburn |
| State | Georgia (GA) |
| Post Code | 302131705 |
| Phone Number | 4042480415 |
| Fax Number | 4042480422 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 652 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Rodney B Black by the Centers for Medicare & Medicaid Services?
The Rodney B Black has been assigned the NPI (National Provider Identifier) 1285799312 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Rodney B Black's physical address?
The Rodney B Black is physically located at 100 Azalea Dr, in the city of Fairburn, GA, with the postal code 302131705.
What is the Rodney B Black's specialty and taxonomy code?
The Rodney B Black's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285799312 to Rodney B Black?
The Rodney B Black received its 1285799312 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the Rodney B Black's details last updated?
The information pertaining to the Rodney B Black, including its address, specialty, and other details, was most recently updated on 2007-07-08.