Individual provider · Type 1 NPI

Michael David Black, OTR/L

Occupational Therapist · Boise, ID

NPI number 1104488816 Active

Practice location

600 N Robbins Rd
Boise, ID 83702-4565

Call (208) 489-4444 Map

Mailing address

250 N Garden St
Boise, ID 83706-1832

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-2071 (ID)

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 1104488816

Michael David Black, OTR/L's National Provider Identifier is 1104488816, issued on Jul 2, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boise, ID. The record was last updated on Jul 2, 2019.