Individual provider · Type 1 NPI

Sophie Champagne Black

Occupational Therapist · Kosciusko, MS

NPI number 1093920522 Active

Practice location

310 Autumn Ridge Dr
Kosciusko, MS 39090-3242

Call (662) 289-3499 Map

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT0533 (MS)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1093920522

Sophie Champagne Black's National Provider Identifier is 1093920522, issued on May 10, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Kosciusko, MS. The record was last updated on Dec 29, 2009.