Organization
KARINA BLACK, OTR/L & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARINA BLACK OTR/L (OWNER)
(760) 799-5030
Entity
Organization
Contact information
Practice address
1023 FOREST AVE, BOULDER, CO 80304-2556
(760) 799-5030
Mailing address
1023 FOREST AVE, BOULDER, CO 80304-2556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
02/03/2022
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