Individual
MS. CHRISTINA ELAINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007199
VA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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