Individual
SYDNIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 CONSTITUTION DR, LIVERMORE, CA 94551-7573
(925) 505-4700
Mailing address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 433-1150
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80390
CA
Other
Enumeration date
10/14/2025
Last updated
10/24/2025
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