Individual
AMIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6001 W WILLIAM CANNON DR, SUITE 304, AUSTIN, TX 78749-1968
(512) 394-0735
Mailing address
8519 N CAPITAL OF TEXAS HWY, APT. 1040, AUSTIN, TX 78759-8454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103719
TX
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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