Individual
CINDY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21750 RED RUM DR STE 117, ASHBURN, VA 20147-5867
(703) 574-2989
Mailing address
2604 JEFFERSON DAVIS HWY, STAFFORD, VA 22554-5011
(540) 657-1423
(540) 657-1424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004445
VA
Other
Enumeration date
08/24/2007
Last updated
10/15/2025
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