Individual provider · Type 1 NPI

Eva Black

Rehabilitation Practitioner · San Jose, CA

NPI number 1093256174 Active

Practice location

1555 Parkmoor Ave
San Jose, CA 95128-2407

Call (408) 822-0402 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1093256174

Eva Black's National Provider Identifier is 1093256174, issued on Mar 9, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 11, 2025.