Dana W Black, COTA

NPI #1952557720 in Jensen Beach, Florida

Provider Information

NPI Number: 1952557720
Entity Type: Individual
Name: Dana W Black, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: COTA
Enumeration Date: Aug 13, 2008
Last Updated: Jan 8, 2019

Practice Location

Address: 1700 NE INDIAN RIVER DR
City: Jensen Beach
State: Florida
ZIP Code: 34957-5853
Phone: (772) 225-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Occupational Therapist	225X00000X	Primary

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