SearchOklahomaOccupational Therapy Assistant

Justin Black

NPI 1245969138 · on the registry since 2022

Practice

Address
508 E Wilson St
Valliant, OK 74764
Phone
(580) 743-6553
Organisation at this address
Burgess Imaging, Llc
Burgess Family Healthcare, Llc
Speech Therapy For Se Oklahoma Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-07

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 Oklahoma