Lisa Black

NPI #1720582398 in Allen Park, Michigan

Provider Information

NPI Number: 1720582398
Entity Type: Individual
Name: Lisa Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 20, 2018
Last Updated: Mar 20, 2018

Practice Location

Address: 7445 ALLEN RD STE 102
City: Allen Park
State: Michigan
ZIP Code: 48101-1992
Phone: (313) 389-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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