SearchGeorgiaOccupational Therapist

Matthew Black, OTD

NPI 1093594319 · on the registry since 2023 · sole proprietor

Practice

Address
5241 23rd Infantry Regiment St Bldg 3410
Fort Benning, GA 31905
Phone
(541) 226-7995

Additional practice sites

  • 6600 Van Aalst Blvd, Fort Benning, GA

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-06

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