Individual
MRS. JENNIFER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11046 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1448
(240) 284-2600
Mailing address
11046 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1448
(240) 284-2600
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
08012
MD
Other
Enumeration date
09/09/2016
Last updated
05/08/2024
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