Individual
MICHELLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 TOWER RD, MATTAPOISETT, MA 02739-1625
(508) 916-0174
Mailing address
4 TOWER RD, MATTAPOISETT, MA 02739-1625
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3302
MA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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