Individual
KELLY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4101 RAEFORD RD, FAYETTEVILLE, NC 28304-4114
(910) 488-2120
Mailing address
1041 PARKERS RIDGE DR, FUQUAY VARINA, NC 27526-5892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.009759
IL
225X00000X
Occupational Therapist
Primary
11328
NC
Other
Enumeration date
09/12/2012
Last updated
09/17/2020
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