Individual
DANA W BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-5853
(772) 225-1355
(772) 225-8037
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA9730
FL
225X00000X
Occupational Therapist
Primary
OT19708
FL
Other
Enumeration date
08/13/2008
Last updated
01/08/2019
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