Rodney B Black, OT

NPI #1285799312 in Tucker, Georgia

Provider Information

NPI Number
1285799312
Entity Type
Individual
Name
Rodney B Black, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Dec 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3760 LAVISTA RD
Address 2
SUITE 102
City
Tucker
State
Georgia
ZIP Code
30084-5615
Phone
(404) 248-0415

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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