Individual
KAREN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7317 WOODBINE AVE, PHILADELPHIA, PA 19151-2212
(215) 921-2028
Mailing address
7317 WOODBINE AVE, PHILADELPHIA, PA 19151-2212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009131
PA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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