Deronda Ann Black, OTR

NPI #1316114150 in Vicksburg, Michigan

Provider Information

NPI Number
1316114150
Entity Type
Individual
Name
Deronda Ann Black, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR
Enumeration Date
May 12, 2008
Last Updated
May 12, 2008

Practice Location

Address
14416 PORTAGE RD
ZIP Code
49097-9732
Phone
(269) 649-1848

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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