Individual
SARA NICOLE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 2ND ST N STE E, SAFETY HARBOR, FL 34695-3503
(727) 712-0808
Mailing address
801 2ND ST N STE E, SAFETY HARBOR, FL 34695-3503
(727) 712-0808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20487
FL
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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