Jeffery Black, COTA

NPI 1568588531 · on the registry since 2007

Practice

Address: 302 Cedar Ridge Rd
Sissonville, WV 25320
Phone: (304) 984-0046
Organisation at this address: Glenmark Associates, Inc
Cedar Ridge Center Opco, Llc
302 Cedar Ridge Road Operations Llc
Mpac Mental Health West Virginia Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 West Virginia