Search › Georgia › Pediatric Occupational Therapist
Tina Black
NPI 1013087428 · on the registry since 2006
Practice
- Address
- 4502 Summer Gate Ct
Gainesville, GA 30506 - Phone
- (770) 378-5986
- Fax
- (770) 536-0346
- Organisation at this address
- Black'S Pediatric Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pediatric Occupational Therapist
225XP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia