Individual provider · Type 1 NPI

Justin Black

Occupational Therapy Assistant · Valliant, OK

NPI number 1245969138 Active

Practice location

508 E Wilson St
Valliant, OK 74764-9115

Mailing address

404 Allen St
Broken Bow, OK 74728-3136

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1513 (OK)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1245969138

Justin Black's National Provider Identifier is 1245969138, issued on Jun 7, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Valliant, OK. The record was last updated on Jun 7, 2022.