Individual
SUSAN ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4408 W WALNUT ST, APT/SUITE, ROGERS, AR 72756-9526
(479) 246-0101
Mailing address
16063 SERENITY POINT LN, ROGERS, AR 72756-8610
(847) 287-5109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
01/29/2015
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